Individual
DR. CHARLES L EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2140 W SAINT PAUL AVE STE A, WAUKESHA, WI 53188-5905
(262) 547-2827
(262) 547-1269
Mailing address
2140 W SAINT PAUL AVE STE A, WAUKESHA, WI 53188-5905
(262) 547-2827
(262) 547-1269
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0379G
WI
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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