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Gregory A Evanoff DDS PC

Dentist in Minot, ND. Organization (NPI-2).

NPI number1619088770
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1619088770
Entity type
Organization (NPI-2)
Legal business name
Gregory A Evanoff DDS PC
Organization subpart
No
Enumeration date
Aug 31, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist1712NDYes

Practice location

1000 31st Av Sw
Minot, ND 58701-6958

Phone 701-852-3222 · Fax 701-852-2767

Mailing address

1000 31st Av Sw
Minot, ND 58701-6958

Phone 701-852-3222 · Fax 701-852-2767

Authorized official

Gregory A Evanoff
Owner Dentist
7018523222

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