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117 E Langley Universal City TX 78148-4414 | |
| (210) 658-9031 | |
| (210) 658-8202 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 117 E Langley, Universal City, Texas |
| Authorized Official Name and Position | Fortuna Alapag Vardeman (OWNER) |
| Authorized Official Contact | 2106589031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
117 E Langley Universal City TX 78148-4414 Ph: (210) 658-9031 | 117 E Langley Universal City TX 78148-4414 Ph: (210) 658-9031 |
| NPI Number | 1659689776 |
|---|---|
| Provider Enumeration Date | 09/23/2010 |
| Last Update Date | 09/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659689776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18827 (Texas) | Primary |
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