| Vidor Dental Pllc | |
|
970 N Main St Ste 200 Vidor TX 77662-4338 | |
| (936) 526-2500 | |
| Not Available |
| Full Name | Vidor Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 970 N Main St Ste 200, Vidor, Texas |
| Authorized Official Name and Position | Vineet Sharma (OWNER) |
| Authorized Official Contact | 5413787928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vidor Dental Pllc 970 N Main St Ste 200 Vidor TX 77662-4338 Ph: (936) 526-2500 | Vidor Dental Pllc 970 N Main St Ste 200 Vidor TX 77662-4338 Ph: (936) 526-2500 |
| NPI Number | 1326698606 |
|---|---|
| Provider Enumeration Date | 09/18/2019 |
| Last Update Date | 05/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326698606 | NPI | - | NPPES |
| 30165 | Other | TX | TEXAS STATE BOARD OF DENTAL EXAMINERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |