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Individual

DR. SAMUEL GENE EVANS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
304 IONA ST, FAIRMONT, NC 28340-1618
(910) 628-7166
(910) 682-7167
Mailing address
304 IONA ST, FAIRMONT, NC 28340-1618
(910) 628-7166
(910) 682-7167

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5286
NC

Other

Enumeration date
02/26/2009
Last updated
02/26/2009
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