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GREGORY A EVANOFF DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY A EVANOFF DDS (OWNER DENTIST)
(701) 852-3222
Entity
Organization

Contact information

Practice address
1000 31ST AV SW, MINOT, ND 58701-6958
(701) 852-3222
(701) 852-2767
Mailing address
1000 31ST AV SW, MINOT, ND 58701-6958
(701) 852-3222
(701) 852-2767

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1712
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41289
ND
Enumeration date
08/31/2006
Last updated
08/22/2020
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