| Victory Smiles La Porte | |
|
400 W Fairmont Pkwy La Porte TX 77571-6308 | |
| (832) 460-5657 | |
| (346) 998-1223 |
| Full Name | Victory Smiles La Porte |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 400 W Fairmont Pkwy, La Porte, Texas |
| Authorized Official Name and Position | John Le (OFFICE MANAGER) |
| Authorized Official Contact | 8324605657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Smiles La Porte 400 W Fairmont Pkwy La Porte TX 77571-6308 Ph: (832) 460-5657 | Victory Smiles La Porte 400 W Fairmont Pkwy La Porte TX 77571-6308 Ph: (832) 460-5657 |
| NPI Number | 1053883603 |
|---|---|
| Provider Enumeration Date | 12/20/2018 |
| Last Update Date | 12/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053883603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | () | Secondary |
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