| Vita Dental Gosling Pllc | |
|
5250 Fm 2920 Rd Ste D Spring TX 77388-3003 | |
| (609) 271-0278 | |
| Not Available |
| Full Name | Vita Dental Gosling Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5250 Fm 2920 Rd, Spring, Texas |
| Authorized Official Name and Position | Sang Pil Yu (OWNER) |
| Authorized Official Contact | 6092710278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vita Dental Gosling Pllc 5250 Fm 2920 Rd Ste D Spring TX 77388-3003 Ph: (609) 271-0278 | Vita Dental Gosling Pllc 5250 Fm 2920 Rd Ste D Spring TX 77388-3003 Ph: (609) 271-0278 |
| NPI Number | 1912418732 |
|---|---|
| Provider Enumeration Date | 10/19/2017 |
| Last Update Date | 10/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912418732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 26066 (Texas) | Primary |
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