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Organization
VS - LA PORTE, PLLC
Active
Organization
VS - LA PORTE, PLLC
Active
Other names
Victory Smiles La Porte
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN LE (OFFICE MANAGER)
(832) 460-5657
Entity
Organization
Contact information
Practice address
400 W FAIRMONT PKWY, LA PORTE, TX 77571-6308
(832) 460-5657
(346) 998-1223
Mailing address
400 W FAIRMONT PKWY, LA PORTE, TX 77571-6308
(832) 460-5657
(346) 998-1223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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