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Evans Dental Pa
Dental Clinic/Center in Burley, Idaho
NPI 1205306941

Evans Dental Pa is a Dental Clinic/Center based in Burley, ID and is specialized in Dental. Evans Dental Pa practices in Burley, ID. The NPI Number for Evans Dental Pa is 1205306941 and holds a License No. (Idaho).

The current practice location address for Evans Dental Pa is 1308 Bennett Ave, Burley, ID and can be reached out via phone at 208-647-4441.

Location: 1308 Bennett Ave, Burley, ID, 83318-2665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205306941
Provider Name
Evans Dental Pa
Credential
Provider Entity Type
Organization
Address
1308 Bennett Ave, Burley, ID, 83318-2665
Phone Number
208-647-4441
Fax Number
Provider Enumeration Date
11/26/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33733 05 ID
institution
Provider Business Practice Location Address Details
Address
1308 Bennett Ave
City
Burley
State
Idaho
Zip
83318-2665
Phone Number
208-647-4441
Fax Number
person
Provider Business Mailing Address Details
Address
1308 Bennett Ave
City
Burley
State
Idaho
Zip
83318-2665
Phone Number
208-647-4441
Fax Number
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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