Ronald Robert Evenson DDS

NPI 1093715112 - Dentist - 1223G0001X

NPI Details
NPI 1093715112
Gender Male
Enumeration Date 07/29/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
HOUSTON MN, 55943-8449, US
Phone (507) 896-2202
Fax (507) 896-3363
Business Location
PO BOX 275
HOUSTON MN, 55943-0275, US
Phone (507) 896-3863
Taxonomy Code 1223G0001X
License State Minnesota
License Number 7187
Remove 1093715112 NPI Number

According to our database, Dr. Ronald Robert Evenson DDS NPI is 1093715112, taxonomy code is 1223G0001X and license number is 7187, license state is located at Minnesota. Ronald Robert Evenson DDS physically located at 109 E Maple St, Houston MN, 55943-8449. NPI Number Ronald Robert Evenson DDS has the Individual type.

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1093715112 NPI number is provided on an as is basis without warranty of any kind. 1093715112 is maintained by the National Plan & Provider Enumeration System. The contents of Ronald Robert Evenson DDS are for informational purposes only.