Individual
MEREDITH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
125 SIEGLER ST, GREEN BAY, WI 54303-2635
(920) 592-8940
(920) 592-8953
Mailing address
125 SIEGLER ST, GREEN BAY, WI 54303-2635
(920) 592-8940
(920) 592-8953
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
30022336
OH
1223P0221X
Pediatric Dentistry
Primary
6471015
WI
Other
Enumeration date
10/05/2006
Last updated
03/11/2010
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