Individual
MR. JEFFREY ROBERT EVANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3637 MEDINA RD, SUITE #200, MEDINA, OH 44256-9654
(330) 725-6182
Mailing address
3637 MEDINA RD, SUITE #200, MEDINA, OH 44256-9654
(330) 725-6182
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.24802
OH
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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