Organization · Type 2 NPI
Evans Dental PA
Dental Clinic/Center · Burley, ID
NPI number
1205306941
Active
Practice location
1308 Bennett Ave
Burley, ID 83318-2665
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Burley
About NPI 1205306941
Evans Dental PA's National Provider Identifier is 1205306941, issued on Nov 26, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Burley, ID. The record was last updated on Nov 26, 2018.