Family Dental Group of Greenville Pllc

NPI #1881135044 in Greenville, Texas

Provider Information

NPI Number: 1881135044
Entity Type: Organization
Organization Name: Family Dental Group of Greenville Pllc
Primary Specialty: Dentist
Enumeration Date: Mar 20, 2017
Last Updated: Mar 20, 2017

Practice Location

Address: 4319 RIDGECREST RD
City: Greenville
State: Texas
ZIP Code: 75402-6004
Phone: (903) 454-0918

Authorized Official

Name: DR. GARY RANDALL EVANS, DDS
Title: MEMBER
Phone: (903) 454-0918

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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