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Individual

DIANE EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1505 W BUCKINGHAM RD, GARLAND, TX 75042-4204
(469) 649-1017
Mailing address
4914 LIVE OAK ST UNIT 5, DALLAS, TX 75206-8872
(214) 592-5892

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41507
TX

Other

Enumeration date
04/04/2023
Last updated
07/12/2025
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