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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MAYLANI EVANGELISTA

Active

DR. MAYLANI EVANGELISTA is a Orthodontics healthcare provider located in KENOSHA, Wisconsin. NPI 1679612204 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · KENOSHA, WI

Registration Details

NPI Number
1679612204
Provider Type
Individual
Gender
Female
NPI Issued
Feb 6, 2007 (19.477294685422 yrs)
Last Updated
Jul 8, 2007
License
5469 (WI)

Practice Information

Address
3410 80TH ST
KENOSHA, WI, 531424975
Browse WI providers · Browse ZIP 53142
Phone
2626970825
Fax
2626970116
Primary Specialty
Orthodontics
1223X0400X

Other Orthodontics Providers in KENOSHA, WI

Name Credential NPI
DR. GEORGE BURLEIGH WEDELL DDS 1881733368
DR. BRYON RICHARD KOZAK DDS, MS 1104946912
DR. JOHN ROBERT CRAWFORD DDS, MS 1356563449
DR. JANE WRIGHT DDS, MS 1053604777
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.