Maple Street, PC
NPI #1275763674 in Houston, Minnesota
Provider Information
- NPI Number
- 1275763674
- Entity Type
- Organization
- Organization Name
- Maple Street, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 20, 2009
- Last Updated
- Jul 20, 2009
Practice Location
Authorized Official
- Name
- DR. JOHN W EVENSON, D.D.S.
- Title
- OWNER
- Phone
- (507) 896-2202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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