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Organization
PALESTINE DENTAL PLLC
Active
Organization
PALESTINE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVERETT C EVANS DDS (OWNER, DDS)
(940) 808-1970
Entity
Organization
Contact information
Practice address
419 OLD ELKHART RD, 110, PALESTINE, TX 75801-5922
(903) 723-4669
Mailing address
PO BOX 674330, DALLAS, TX 75267-4330
(940) 808-1970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23695
TX
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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