Individual
HEATH HARRIS EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4716 W URBANA ST, BROKEN ARROW, OK 74012-5997
(918) 449-5800
Mailing address
4716 W URBANA ST, BROKEN ARROW, OK 74012-5997
(918) 449-5800
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6153
OK
Other
Enumeration date
07/16/2009
Last updated
06/03/2013
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