Individual
DR. MICHAEL THOMAS EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
577 STERNBERG AVE, U.S. ARMY DENTAL ACTIVITY, FORT EUSTIS, VA 23604-1526
(757) 314-7944
Mailing address
577 STERNBERG AVE, U.S. ARMY DENTAL ACTIVITY, FORT EUSTIS, VA 23604-1526
(757) 314-7944
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11491
MD
Other
Enumeration date
01/25/2006
Last updated
03/07/2023
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