Individual
TEMPESTT JUANITA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
483 GREAT NECK RD S, MASHPEE, MA 02649
(508) 477-6967
Mailing address
483C GREAT NECK RD S, MASHPEE, MA 02649-3707
(508) 477-6967
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11176
NC
Other
Enumeration date
05/24/2018
Last updated
08/30/2019
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