Robert Evans DDS
Dentist, General Practice in Canonsburg, PA. Organization (NPI-2).
NPI number1124483151
StatusActive
Last updated in NPPESDec 17, 2015
Details
- NPI
- 1124483151
- Entity type
- Organization (NPI-2)
- Legal business name
- Robert Evans DDS
- Organization subpart
- No
- Enumeration date
- Dec 17, 2015
- Last updated
- Dec 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DS025881L | PA | Yes |
Practice location
100 Houston SqSuite 1a
Canonsburg, PA 15317-1469
Phone 724-746-5330 · Fax 724-746-9371
Mailing address
100 Houston SqSuite 1a
Canonsburg, PA 15317-1469
Phone 724-746-5330 · Fax 724-746-9371
Authorized official
Robert C Evans
Owner
7247465330
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