| Marius a Evans DDS PC | |
|
9911 Kennerly Rd Suite G St Louis MO 63128 | |
| (314) 849-0999 | |
| (314) 849-1385 |
| Full Name | Marius a Evans DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 9911 Kennerly Rd, St Louis, Missouri |
| Authorized Official Name and Position | Marius a Evans (DENTIST) |
| Authorized Official Contact | 3148490999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marius a Evans DDS PC 9911 Kennerly Rd Suite G St Louis MO 63128 Ph: (314) 849-0999 | Marius a Evans DDS PC 9911 Kennerly Rd Suite G St Louis MO 63128 Ph: (314) 849-0999 |
| NPI Number | 1689731192 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 03/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689731192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE015685 (Missouri) | Primary |
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