| Dental Vip, Pllc | |
|
7612 W Highway 71 Ste B Austin TX 78735 | |
| (561) 715-1010 | |
| Not Available |
| Full Name | Dental Vip, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7612 W Highway 71 Ste B, Austin, Texas |
| Authorized Official Name and Position | Laurence E Fendrich (MEMBER) |
| Authorized Official Contact | 5617151010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Vip, Pllc 5030 Champion Blvd # G11-303 Boca Raton FL 33496-2473 Ph: (561) 715-1010 | Dental Vip, Pllc 7612 W Highway 71 Ste B Austin TX 78735 Ph: (561) 715-1010 |
| NPI Number | 1346726247 |
|---|---|
| Provider Enumeration Date | 07/13/2018 |
| Last Update Date | 07/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346726247 | NPI | - | NPPES |
| 34315 | Other | TX | TX DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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