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Individual

DANIEL KEITH EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
199 HWY 50, PECOS, NM 87552
(505) 757-6666
(505) 757-2700
Mailing address
PO BOX 710, PECOS, NM 87552-0710
(505) 757-6666
(505) 757-2700

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2971
NM

Other

Enumeration date
07/09/2008
Last updated
07/09/2008
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