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Organization
VIDOR DENTAL PLLC
Active
Organization
VIDOR DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINEET SHARMA DDS (OWNER)
(541) 378-7928
Entity
Organization
Contact information
Practice address
970 N MAIN ST STE 200, VIDOR, TX 77662-4338
(936) 526-2500
Mailing address
970 N MAIN ST STE 200, VIDOR, TX 77662-4338
(936) 526-2500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30165
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
09/18/2019
Last updated
05/14/2020
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