Individual
DR. MATTHEW DAVID EVANS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
108 PALMETTO PARK BLVD, SUITE F, LEXINGTON, SC 29072-7968
(803) 808-1110
Mailing address
108 PALMETTO PARK BLVD, SUITE F, LEXINGTON, SC 29072-7968
(803) 808-1110
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3543
SC
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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