| NPI | 1609630425 |
|---|---|
| Other Name | MICHAEL EVANOFF DMD PLLC |
| Entity Type | Organization |
| Authorized Contact | MARI DOMINI ABERLE Office Manager 701-852-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-03-26 |