Organization
EVANS FAMILY DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES FREDERIC EVANS D.D.S. (PRESIDENT)
(512) 461-0394
Entity
Organization
Contact information
Practice address
9001 BRODIE LN., SUITE C1, AUSTIN, TX 78748
(512) 282-5900
Mailing address
9001 BRODIE LN., SUITE C1, AUSTIN, TX 78748
(512) 282-5900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19741
TX
Other
Enumeration date
11/03/2009
Last updated
11/12/2009
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