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Organization
WEST BANDERA DENTAL, PLLC
Active
Organization
WEST BANDERA DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVERETT CHAD EVANS DDS (OWNER/DDS)
(830) 428-3698
Entity
Organization
Contact information
Practice address
430 W BANDERA RD, BOERNE, TX 78006-2500
(830) 428-3698
Mailing address
3600 E MCKINNEY ST STE 100, DENTON, TX 76209-7557
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23695
TX
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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