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Dale L Evans Llc
Dental Clinic/Center in Covington, Georgia
NPI 1114384914

Dale L Evans Llc is a Dental Clinic/Center based in Covington, GA and is specialized in Dental. Dale L Evans Llc practices in Covington, GA. The NPI Number for Dale L Evans Llc is 1114384914 and holds a License No. (Georgia).

The current practice location address for Dale L Evans Llc is 2104 Newton Dr Ne, Covington, GA and can be reached out via phone at 770-787-0690 and via fax at 770-787-0691.

Location: 2104 Newton Dr Ne, Covington, GA, 30014-2456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114384914
Provider Name
Dale L Evans Llc
Credential
Provider Entity Type
Organization
Address
2104 Newton Dr Ne, Covington, GA, 30014-2456
Phone Number
770-787-0690
Fax Number
770-787-0691
Provider Enumeration Date
01/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2104 Newton Dr Ne
City
Covington
State
Georgia
Zip
30014-2456
Phone Number
770-787-0690
Fax Number
770-787-0691
person
Provider Business Mailing Address Details
Address
2104 Newton Dr Ne
City
Covington
State
Georgia
Zip
30014-2456
Phone Number
770-787-0690
Fax Number
770-787-0691
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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