| NPI | 1174907315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERETT C EVANS Owner, Dds 940-808-1970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23695) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |