| Vitality Dental, Pllc | |
|
2329 Coit Rd Suite A Plano TX 75075-3796 | |
| (972) 964-3800 | |
| Not Available |
| Full Name | Vitality Dental, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2329 Coit Rd, Plano, Texas |
| Authorized Official Name and Position | Andrew Kung (MEMBER) |
| Authorized Official Contact | 9729643800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Dental, Pllc 2329 Coit Rd Suite A Plano TX 75075-3796 Ph: (972) 964-3800 | Vitality Dental, Pllc 2329 Coit Rd Suite A Plano TX 75075-3796 Ph: (972) 964-3800 |
| NPI Number | 1043673304 |
|---|---|
| Provider Enumeration Date | 04/03/2016 |
| Last Update Date | 04/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043673304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 28242 (Texas) | Primary |
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