Individual
DR. ELIZABETH S EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1771 UNION ST, NISKAYUNA, NY 12309-6311
(518) 377-3628
Mailing address
1771 UNION ST, NISKAYUNA, NY 12309-6311
(518) 377-3628
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0493821
NY
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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