| NPI | 1164025623 |
|---|---|
| Doing Business As | EVANKO DENTAL GROUP OF MEDINA |
| Entity Type | Organization |
| Authorized Contact | JEFFREY R EVANKO Owner/ Dentist 330-725-6182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-24 |