| NPI | 1124018841 |
|---|---|
| Other Name | CARLA ANN EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021-001786) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2014-09-09 |