Evan Reed Sobiesk Valid NPI
Individual provider · Oral and Maxillofacial Surgery (Dentist) · Hattiesburg, MS
- NPI
- 1801416219
- Type
- Individual (Type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223S0112X
- License number
- 4160-20 (MS)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-04-26
- Last updated
- 2024-06-04
Practice location
1421 S 28th Ave
Hattiesburg, MS 39402-3108
(601) 264-7611