Organization
MARIUS A EVANS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIUS A EVANS DDS (DENTIST)
(314) 849-0999
Entity
Organization
Contact information
Practice address
9911 KENNERLY RD, SUITE G, ST LOUIS, MO 63128
(314) 849-0999
(314) 849-1385
Mailing address
9911 KENNERLY RD, SUITE G, ST LOUIS, MO 63128
(314) 849-0999
(314) 849-1385
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE015685
MO
Other
Enumeration date
01/03/2007
Last updated
03/27/2014
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