| Port Lavaca Dentistry, Pllc | |
|
1606 N Virginia St Port Lavaca TX 77979-2241 | |
| (361) 552-5800 | |
| (888) 276-1646 |
| Full Name | Port Lavaca Dentistry, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1606 N Virginia St, Port Lavaca, Texas |
| Authorized Official Name and Position | Vinh Huu Ngo (OWNER) |
| Authorized Official Contact | 3615525800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Lavaca Dentistry, Pllc Po Box 734753 Dallas TX 75373-4753 Ph: (361) 552-5800 | Port Lavaca Dentistry, Pllc 1606 N Virginia St Port Lavaca TX 77979-2241 Ph: (361) 552-5800 |
| NPI Number | 1881005296 |
|---|---|
| Provider Enumeration Date | 05/20/2014 |
| Last Update Date | 09/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881005296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 27025 (Texas) | Primary |
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