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1114384914
DALE L EVANS LLC
COVINGTON, GA
NPI
1114384914
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Entity Type
Organization
Authorized Contact
DALE L EVANS
Owner
770-787-0690
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2016-01-25
Last Update Date
2016-01-25
Business Address
DALE L EVANS LLC
2104 NEWTON DR NE
COVINGTON, GA 30014-2456
Phone number: 770-787-0690
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Mailing Address
DALE L EVANS LLC
2104 NEWTON DR NE
COVINGTON, GA 30014-2456
Phone number: 770-787-0690
Copy
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