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Organization
DR. G. RANDALL EVANS, D.D.S., F.A.G.D.
Active
Organization
DR. G. RANDALL EVANS, D.D.S., F.A.G.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY RANDALL EVANS D.D.S. (OWNER)
(903) 454-0918
Entity
Organization
Contact information
Practice address
4319 RIDGECREST RD, GREENVILLE, TX 75402-6004
(903) 454-0918
(903) 454-7540
Mailing address
4319 RIDGECREST RD, GREENVILLE, TX 75402-6004
(903) 454-0918
(903) 454-7540
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11800
TX
1223G0001X
General Practice Dentistry
21548
TX
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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