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1730727660
LARRY BRIAN EVANS
LAWRENCEVILLE, GA
NPI
1730727660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: GA DN009789)
Enumeration Date
2019-12-10
Last Update Date
2019-12-10
Business Address
Dr. LARRY BRIAN EVANS DDS
55 TOWLER RD
LAWRENCEVILLE, GA 30046-4717
Phone number: 770-962-9560
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Mailing Address
Dr. LARRY BRIAN EVANS DDS
635 E GULF DR UNIT B102
SANIBEL, FL 33957-7121
Phone number: 239-472-6982
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