Individual
GARY L. EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1040 E. ELIZABETH STREET, SUITE D, FORT COLLINS, CO 80524
(970) 221-1926
(970) 221-1888
Mailing address
1040 E ELIZABETH ST, SUITE D, FORT COLLINS, CO 80524-3951
(970) 221-1926
(970) 221-1888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
05449
CO
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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