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Organization
GRANDBURY DENTAL , PLLC
Active
Organization
GRANDBURY DENTAL , 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
708 PALUXY RD, GRANBURY, TX 76048-2396
(817) 573-4600
Mailing address
3600 E MCKINNEY ST, 100, DENTON, TX 76209-7557
(940) 808-1970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23695
TX
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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