Individual
DR. KEVIN BOYD TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4616 W LOVERS LN, #212, DALLAS, TX 75209-3101
(214) 244-1370
Mailing address
4616 W LOVERS LN, #212, DALLAS, TX 75209-3101
(214) 244-1370
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18200
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18200
DDS LICENSE
TX
Enumeration date
07/03/2006
Last updated
11/14/2011
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