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Individual

DR. JOSEPH DYLAN EVERETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
6123 79TH ST STE 100, LUBBOCK, TX 79424-8708
(806) 686-1262
Mailing address
6123 79TH ST STE 100, LUBBOCK, TX 79424-8708
(806) 674-7609
(806) 686-1263

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28022
TX

Other

Enumeration date
08/12/2012
Last updated
09/18/2018
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