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3901 Fm 2181 Suite 400 Corinth TX 76210-4250 | |
| (940) 321-3919 | |
| (940) 497-0995 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3901 Fm 2181, Corinth, Texas |
| Authorized Official Name and Position | Fernando A Vignolo (DOCTOR) |
| Authorized Official Contact | 9403213919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3901 Fm 2181 Suite 400 Corinth TX 76210-4250 Ph: (940) 321-3919 | 3901 Fm 2181 Suite 400 Corinth TX 76210-4250 Ph: (940) 321-3919 |
| NPI Number | 1730242835 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730242835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 20031 (Texas) | Primary |
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