NPI | 1396128534 |
---|---|
Entity Type | Organization |
Authorized Contact | EVERETT C EVANS Dds, Owner 940-808-1970 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23695) |
Enumeration Date | 2015-07-07 |
Last Update Date | 2015-07-07 |