Individual
DR. EAGER EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1215 PLUMAS ST, STE 400, YUBA CITY, CA 95991-3453
(530) 671-2630
Mailing address
1215 PLUMAS ST, STE 400, YUBA CITY, CA 95991-3453
(530) 671-2630
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
LCS52777
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52777
DENTAL LICENSE
CA
Enumeration date
11/29/2006
Last updated
06/06/2012
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