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Organization
SOUTH BUCKNER FAMILY DENTISTRY, PLLC
Active
Organization
SOUTH BUCKNER FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVERETT CHAD EVANS DDS (OWNER/DENTIST)
(940) 220-7833
Entity
Organization
Contact information
Practice address
1638 S BUCKNER BLVD, DALLAS, TX 75217-1707
(940) 220-7833
Mailing address
5800 N I 35 STE 205, DENTON, TX 76207-1438
(940) 220-7833
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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