| Vibrant Family Dental | |
|
1801 E 87th Street Odessa TX 79765 | |
| (317) 292-4054 | |
| (432) 558-7299 |
| Full Name | Vibrant Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1801 E 87th Street, Odessa, Texas |
| Authorized Official Name and Position | Yasoda Vardhani Boyapati (OWNER) |
| Authorized Official Contact | 4322331964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vibrant Family Dental 1801 E 87th Street Suite 105 Odessa TX 79765-1826 Ph: (432) 233-1964 | Vibrant Family Dental 1801 E 87th Street Odessa TX 79765 Ph: (317) 292-4054 |
| NPI Number | 1407561442 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 04/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407561442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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