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Dr. Charles L Evans, DDS

Dentist, Orthodontics and Dentofacial Orthopedics in Waukesha, WI. Individual provider (NPI-1).

NPI number1649313453
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1649313453
Entity type
Individual (NPI-1)
Name
Dr. Charles L Evans
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Feb 14, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics0379GWIYes

Practice location

2140 W Saint Paul Ave Ste A
Waukesha, WI 53188-5905

Phone 262-547-2827 · Fax 262-547-1269

Mailing address

2140 W Saint Paul Ave Ste A
Waukesha, WI 53188-5905

Phone 262-547-2827 · Fax 262-547-1269

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Other Orthodontics and Dentofacial Orthopedics Dentistry providers in Waukesha, WI

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