DR. Jonathan Douglas Evans, DDS

NPI #1609139484 in Sierra Vista, Arizona

Provider Information

NPI Number: 1609139484
Entity Type: Individual
Name: DR. Jonathan Douglas Evans, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 18, 2012
Last Updated: Jun 18, 2012

Practice Location

Address: 2107 PASEO SAN LUIS
City: Sierra Vista
State: Arizona
ZIP Code: 85635-4563
Phone: (520) 459-3067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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