Individual
DR. TODD MICHAEL EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1020 SOUTHAMPTON DR, DECATUR, IN 46733-1049
(260) 724-8015
(260) 724-8552
Mailing address
14634 SOARING HAWK TRL, HOAGLAND, IN 46745-9613
(260) 639-0602
(260) 724-8552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009752
IN
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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