Individual
DR. HENRY FRANK EVANS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
E. 616 MAIN STREET, BOX 347, CHEWELAH, WA 99109-0347
(509) 935-8642
(509) 935-4103
Mailing address
PO BOX 347, E. 616 MAIN STREET, CHEWELAH, WA 99109-0347
(509) 935-8642
(509) 935-4103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5352
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5555701
—
WA
Enumeration date
04/09/2007
Last updated
07/08/2007
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