Evan Mast
Evan Mast is a Student in an Organized Health Care Education/Training Program in Elizabeth, New Jersey. Works from 2 locations. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
Elizabeth, NJNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 1 Bay Ave, Montclair, NJ 07042-4837 — (973) 429-6000
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 22DI02819700 (NJ) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1639707623 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 27, 2020 |
| Last updated in NPPES | July 12, 2021 |
| Certification date | July 12, 2021 |
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