Organization
RICHARD B. EVANS, D.D.S., INC.
Active
Other names
Summit Dental of La Mesa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD B. EVANS D.D.S. (PRESIDENT)
(760) 468-1828
Entity
Organization
Contact information
Practice address
8530 LA MESA BLVD STE 204, LA MESA, CA 91942-0966
(619) 460-0700
(619) 460-0707
Mailing address
8530 LA MESA BLVD STE 204, LA MESA, CA 91942-0966
(619) 494-2492
(619) 460-0700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
261QD0000X
Dental Clinic/Center
Primary
31914
CA
Other
Enumeration date
05/22/2011
Last updated
02/06/2024
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