Individual
BRIAN L EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
60 WASHINGTON AVE, SUITE 207, HAMDEN, CT 06518-3271
(203) 288-5916
(203) 230-1213
Mailing address
60 WASHINGTON AVE, SUITE 207, HAMDEN, CT 06518-3271
(203) 288-5916
(203) 230-1213
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
009719
CT
Other
Enumeration date
10/05/2006
Last updated
08/18/2014
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