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Organization
VANIDA WONGCHUKIT DDS PA
Active
Organization
VANIDA WONGCHUKIT DDS PA
Active
Other names
Dentists At Lexington
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANIDA WONGCHUKIT DDS (PRESIDENT)
(281) 403-3595
Entity
Organization
Contact information
Practice address
4727 LEXINGTON BLVD, MISSOURI CITY, TX 77459-2825
(281) 403-3595
(281) 403-3709
Mailing address
4727 LEXINGTON BLVD, MISSOURI CITY, TX 77459-2825
(281) 403-3595
(281) 403-3709
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20976
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183580301
—
TX
Enumeration date
08/27/2008
Last updated
08/27/2008
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