| NPI | 1871039271 |
|---|---|
| Doing Business As | EVANOFF DENTAL |
| Entity Type | Organization |
| Authorized Contact | KARL EVANOFF Owner 419-283-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901021800) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |