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Organization
LOWES BOULEVARD FAMILY DENTISTRY, PLLC
Active
Organization
LOWES BOULEVARD FAMILY DENTISTRY, PLLC
Active
Other names
Smile Magic of Killeen
Organization subpart
No
Provider details
NPI number
Authorized official
EVERETT CHAD EVANS DDS (OWNER/DENTIST)
(940) 312-5626
Entity
Organization
Contact information
Practice address
1200 LOWES BLVD STE 112, KILLEEN, TX 76542-5204
(940) 220-7833
Mailing address
5800 N I 35 STE 205, DENTON, TX 76207-1438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
02/14/2020
Last updated
12/01/2022
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