ADEAN KINGSTON MD PLLC
Dermatology at Cole Ave, Dallas, TX

License number
Texas N0170
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: ADEAN AUDACE KINGSTON MD
Title: OWNER
Phone: (214) 420-3376
Address
Address
4514 Cole Ave SUITE 910, Dallas, TX 75205
National Provider ID: 1821433004
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ADEAN KINGSTON, MD, PLLC

4514 Cole Ave STE 910, Dallas, TX 75205

Registration:
Mar 11, 2013
State ID:
0801750385
PRESIDENT:
Adean Kingston (PRESIDENT), 4514 Cole Ave 910, Dallas, TX 75205
TIN:
32050439234

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