South Josey Lane Family Dental Pllc
NPI #1053907501 in Carrollton, Texas
Provider Information
- NPI Number
- 1053907501
- Entity Type
- Organization
- Organization Name
- South Josey Lane Family Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 18, 2020
- Last Updated
- Dec 18, 2020
Practice Location
- Address
- 1103 S JOSEY LN STE 706-707
- City
- Carrollton
- State
- Texas
- ZIP Code
- 75006-7680
- Phone
- (940) 220-7833
Authorized Official
- Name
- EVERETT C EVANS, DDS
- Title
- OWNER/DENTIST
- Phone
- (940) 220-7833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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