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Organization
SAN DARIO AVENUE DENTAL, PLLC
Active
Organization
SAN DARIO AVENUE DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVERETT EVANS DDS (OWNER/ DDS)
(940) 220-7833
Entity
Organization
Contact information
Practice address
4817 SAN DARIO AVE, LAREDO, TX 78041-5754
(940) 220-7833
Mailing address
3600 E MCKINNEY ST STE 100, DENTON, TX 76209-7557
(940) 220-7833
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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