Organization
WATERFORD DENTAL SPECIALISTS, PLLC
Active
Other names
Waterford Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD L EVANS DMD (OWNER)
(254) 773-4444
Entity
Organization
Contact information
Practice address
5246 S. 31ST ST., TEMPLE, TX 76502
(254) 773-4444
Mailing address
5246 S. 31ST ST., TEMPLE, TX 76502
(254) 773-4444
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
22583
TX
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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