| West Bandera Dental, Pllc | |
|
430 W Bandera Rd Boerne TX 78006-2500 | |
| (830) 428-3698 | |
| Not Available |
| Full Name | West Bandera Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 430 W Bandera Rd, Boerne, Texas |
| Authorized Official Name and Position | Everett Chad Evans (OWNER/DDS) |
| Authorized Official Contact | 8304283698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Bandera Dental, Pllc 3600 E Mckinney St Ste 100 Denton TX 76209-7557 Ph: () - | West Bandera Dental, Pllc 430 W Bandera Rd Boerne TX 78006-2500 Ph: (830) 428-3698 |
| NPI Number | 1053899435 |
|---|---|
| Provider Enumeration Date | 07/30/2018 |
| Last Update Date | 07/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053899435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23695 (Texas) | Primary |
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