Organization
EVANS DENTAL PRACTICE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARMAINE ANDREA EVANS DDS (PRESIDENT)
(718) 703-8496
Entity
Organization
Contact information
Practice address
549 E 26TH ST, BROOKLYN, NY 11210-1329
(718) 703-8496
(718) 703-1521
Mailing address
549 E 26TH ST, BROOKLYN, NY 11210-1329
(718) 703-8496
(718) 703-1521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044715
NY
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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