Individual
DR. BRIAN THOMAS EVENSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7501 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55427-4563
(763) 544-2213
(763) 541-1758
Mailing address
7501 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55427-4563
(763) 544-2213
(763) 541-1758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10238
MN
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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