Evanko Dental Group Of Medina | |
3637 Medina Rd Ste 200 Medina OH 44256-8154 | |
(330) 725-6182 | |
Not Available |
Full Name | Evanko Dental Group Of Medina |
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Speciality | Dentist - General Practice |
Location | 3637 Medina Rd Ste 200, Medina, Ohio |
Authorized Official Name and Position | Jeffrey R Evanko (OWNER/ DENTIST) |
Authorized Official Contact | 3307256182 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Evanko Dental Group Of Medina 3637 Medina Rd Ste 200 Medina OH 44256-8154 Ph: (330) 725-6182 | Evanko Dental Group Of Medina 3637 Medina Rd Ste 200 Medina OH 44256-8154 Ph: (330) 725-6182 |
NPI Number | 1164025623 |
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Provider Enumeration Date | 11/18/2020 |
Last Update Date | 11/24/2020 |
Identifier | Type | State | Issuer |
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1164025623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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