| Vista Dental | |
|
656 S Jackson Rd Edinburg TX 78539-2356 | |
| (956) 287-1000 | |
| Not Available |
| Full Name | Vista Dental |
|---|---|
| Speciality | Dentist |
| Location | 656 S Jackson Rd, Edinburg, Texas |
| Authorized Official Name and Position | Nicholas Quach (MEMBER) |
| Authorized Official Contact | 9562871000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Dental 656 S Jackson Rd Edinburg TX 78539-2356 Ph: (956) 287-1000 | Vista Dental 656 S Jackson Rd Edinburg TX 78539-2356 Ph: (956) 287-1000 |
| NPI Number | 1164132460 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 11/29/2022 |
| Certification Date | 11/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164132460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
| 1223G0001X | Dentist - General Practice | () | Secondary |
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