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Organization
MINERAL WELLS, PLLC
Active
Organization
MINERAL WELLS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVERETT C EVANS (DDS, OWNER)
(940) 808-1970
Entity
Organization
Contact information
Practice address
931 N FM 1821, SUITE C, MINERAL WELLS, TX 76067
(940) 325-4200
Mailing address
931 FM 1821 N, K, MINERAL WELLS, TX 76067
(940) 325-4200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23695
TX
Other
Enumeration date
06/30/2015
Last updated
11/27/2018
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