Individual
DEVIN CANTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 EXCHANGE ST STE D, BURLESON, TX 76028-4588
(817) 426-9337
Mailing address
5211 W PONTIAC DR, GLENDALE, AZ 85308-9325
(801) 707-4590
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33064
TX
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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