Organization
CARMEL VILLAGE FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVERETT CHAD EVANS DDS (OWNER/DENTIST)
(940) 220-7833
Entity
Organization
Contact information
Practice address
4122 S STAPLES ST, CORPUS CHRISTI, TX 78411-2109
(361) 949-5215
Mailing address
5800 N I 35 STE 205, DENTON, TX 76207-1438
(940) 220-7833
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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