Individual
DR. SONJA R EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
82 COYLE ST, PORTLAND, ME 04101-1628
(207) 772-7431
Mailing address
82 COYLE ST, PORTLAND, ME 04101-1628
(207) 772-7431
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DEN4322
ME
1223G0001X
General Practice Dentistry
RES79
ME
Other
Enumeration date
07/02/2013
Last updated
12/20/2019
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