Organization
R DEAN EVANS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH DEAN EVANS DDS MS (PRESIDENT)
(276) 322-2212
Entity
Organization
Contact information
Practice address
2201 COLLEGE AVE, BLUEFIELD, VA 24605-2004
(276) 322-2212
(276) 322-0032
Mailing address
2201 COLLEGE AVE, BLUEFIELD, VA 24605-2004
(276) 322-2212
(276) 322-0032
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401008042
VA
Other
Enumeration date
08/09/2006
Last updated
10/29/2015
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