Individual
MR. ALBERT EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
1230 PIEDMONT ST, SPRINGFIELD, OR 97477-2609
(541) 686-8537
Mailing address
1230 PIEDMONT ST, SPRINGFIELD, OR 97477-2609
(541) 686-8537
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6816
OR
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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