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Organization
SMILE MAGIC OF GARLAND, PLLC
Active
Organization
SMILE MAGIC OF GARLAND, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVERETT CHAD EVANS (OWNER)
(940) 808-1940
Entity
Organization
Contact information
Practice address
1476 W BUCKINGHAM RD, GARLAND, TX 75042-4201
(940) 808-1940
Mailing address
PO BOX 674330, DALLAS, TX 75267
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23695
TX
Other
Enumeration date
08/02/2010
Last updated
12/05/2014
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