Randolph Evans Family Dentistry | |
22 Sierra Dr Martinsburg WV 25403-1133 | |
(304) 263-3131 | |
Not Available |
Full Name | Randolph Evans Family Dentistry |
---|---|
Speciality | Clinic/center - Dental |
Location | 22 Sierra Dr, Martinsburg, West Virginia |
Authorized Official Name and Position | Randolph Evans (DENTIST/OWNER) |
Authorized Official Contact | 3042633131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Randolph Evans Family Dentistry 23 Litchfield Ln E Martinsburg WV 25405-9644 Ph: (304) 203-8956 | Randolph Evans Family Dentistry 22 Sierra Dr Martinsburg WV 25403-1133 Ph: (304) 263-3131 |
NPI Number | 1356725428 |
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Provider Enumeration Date | 07/17/2015 |
Last Update Date | 07/17/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356725428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 4175 (West Virginia) | Primary |
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