Individual provider · Type 1 NPI
Maylani Evangelista
Orthodontics and Dentofacial Orthopedics Dentistry · Kenosha, WI
Practice location
3410 80th St
Kenosha, WI 53142-4975
Fax (262) 697-0116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 5469 (WI) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
Another provider at this address
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About NPI 1679612204
Maylani Evangelista's National Provider Identifier is 1679612204, issued on Feb 6, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Kenosha, WI. The record was last updated on Jul 8, 2007.