Individual
DR. DEREK JAMES BEVANS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
721 COUNTRY CLUB RD, EUGENE, OR 97401-6008
(541) 686-1199
Mailing address
721 COUNTRY CLUB RD, EUGENE, OR 97401-6008
(541) 686-1199
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7381
OR
Other
Enumeration date
01/12/2006
Last updated
07/08/2007
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