Marius A Evans Dds Pc | |
9911 Kennerly Rd Suite G St Louis MO 63128 | |
(314) 849-0999 | |
(314) 849-1385 |
Full Name | Marius A Evans Dds Pc |
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Speciality | Dentist |
Location | 9911 Kennerly Rd, St Louis, Missouri |
Authorized Official Name and Position | Marius A Evans (DENTIST) |
Authorized Official Contact | 3148490999 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Marius A Evans Dds Pc 9911 Kennerly Rd Suite G St Louis MO 63128 Ph: (314) 849-0999 | Marius A Evans Dds Pc 9911 Kennerly Rd Suite G St Louis MO 63128 Ph: (314) 849-0999 |
NPI Number | 1689731192 |
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Provider Enumeration Date | 01/03/2007 |
Last Update Date | 03/27/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689731192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DE015685 (Missouri) | Primary |
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