Individual
EDWINA JIMENEZ EVANGELISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6600 NORTH FWY, SUITE 109, FORT WORTH, TX 76137-7556
(817) 232-4600
(817) 232-4610
Mailing address
6600 NORTH FWY, SUITE 109, FORT WORTH, TX 76137-7556
(817) 232-4600
(817) 232-4610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18362
TX
Other
Enumeration date
05/21/2007
Last updated
03/07/2023
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