Organization
CHRYSALIS DENTAL ARTS PLLC
Active
Other names
Beverly Deacon DDS @ Walnut Grove Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA ALLMON (PRACTICE ADMIN.)
(972) 298-4191
Entity
Organization
Contact information
Practice address
403 W WHEATLAND RD, DUNCANVILLE, TX 75116-4619
(972) 298-4191
(972) 298-3290
Mailing address
403 W WHEATLAND RD, DUNCANVILLE, TX 75116-4619
(972) 298-4191
(972) 298-3290
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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