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Alan Blake Evans, DDS

Dentist, General Practice in Muscatine, IA. Individual provider (NPI-1).

NPI number1487714937
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1487714937
Entity type
Individual (NPI-1)
Name
Mr. Alan Blake Evans
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Dec 12, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice07985IAYes

Practice location

1612 Plaza Place
Muscatine, IA 52761-5364

Phone 563-264-1180 · Fax 563-288-2776

Mailing address

1612 Plaza Place
Muscatine, IA 52761-5364

Phone 563-264-1180 · Fax 563-288-2776

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