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Organization
VIBRANT SMILES PLLC
Active
Organization
VIBRANT SMILES PLLC
Active
Other names
Vibrant Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASODA VARDHANI BOYAPATI DDS (OWNER)
(432) 233-1964
Entity
Organization
Contact information
Practice address
1801 E 87TH STREET, ODESSA, TX 79765
(317) 292-4054
(432) 558-7299
Mailing address
1801 E 87TH STREET SUITE 105, ODESSA, TX 79765-1826
(432) 233-1964
(432) 558-7299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
04/07/2023
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