Mineral Wells, Pllc

NPI #1740663475 in Mineral Wells, Texas

Provider Information

NPI Number: 1740663475
Entity Type: Organization
Organization Name: Mineral Wells, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 30, 2015
Last Updated: Nov 27, 2018

Practice Location

Address: 931 N FM 1821
Address 2: SUITE C
City: Mineral Wells
State: Texas
ZIP Code: 76067
Phone: (940) 325-4200

Authorized Official

Name: EVERETT C EVANS
Title: DDS, OWNER
Phone: (940) 808-1970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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