Evans/koen Main St Dental Pllc

NPI #1770193070 in Buda, Texas

Provider Information

NPI Number: 1770193070
Entity Type: Organization
Organization Name: Evans/koen Main St Dental Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Aug 3, 2020
Last Updated: Aug 3, 2020

Practice Location

Address: 108 S MAIN ST
City: Buda
State: Texas
ZIP Code: 78610-3375
Phone: (512) 295-9925

Authorized Official

Name: DR. JUSTIN DEXTER KOEN, DMD
Title: PARTNER
Phone: (512) 295-9925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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