DR. Evan Schaffer Disick, D.D.S.

NPI #1538182084 in Mill Valley, California

Provider Information

NPI Number
1538182084
Entity Type
Individual
Name
DR. Evan Schaffer Disick, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jul 25, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
591 REDWOOD HWY
Address 2
BUILDING 2000, SUITE 2110
ZIP Code
94941-6001
Phone
(415) 381-4321

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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