Organization
CHARLES L. EVANS DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES L EVANS (PRESIDENT)
(262) 547-2827
Entity
Organization
Contact information
Practice address
2140 W SAINT PAUL AVE STE A, WAUKESHA, WI 53188-5905
(262) 547-2827
(262) 547-1269
Mailing address
2140 W SAINT PAUL AVE STE A, WAUKESHA, WI 53188-5905
(262) 547-2827
(262) 547-1269
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0379G
WI
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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