NPI | 1912167172 |
---|---|
Former Legal Business Name | GREGORY D. EVANS DDS PC |
Entity Type | Organization |
Authorized Contact | RACHEL ECKER Owner 970-407-1020 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 7679) |
Enumeration Date | 2008-06-11 |
Last Update Date | 2025-09-24 |