Organization
KARL EVANOFF, DDS, PLLC
Active
Other names
Evanoff Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL EVANOFF DDS (OWNER)
(419) 283-4422
Entity
Organization
Contact information
Practice address
2243 E APPLE AVE, SUITE A, MUSKEGON, MI 49442-4391
(231) 773-8110
Mailing address
2243 E APPLE AVE, SUITE A, MUSKEGON, MI 49442-4391
(231) 773-8110
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901021800
MI
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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