Individual
MR. TERRY T ANGEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
651 CROSS TIMBERS ROAD, SUITE 103, FLOWER MOUND, TX 75028
(972) 436-1513
(972) 436-0618
Mailing address
651 CROSS TIMBERS ROAD, SUITE 103, FLOWER MOUND, TX 75028
(972) 436-1513
(972) 436-0618
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
10671
TX
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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