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Organization
VBK DENTAL PLLC
Active
Organization
VBK DENTAL PLLC
Active
Other names
Prime Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VISHAL KULKARNI DDS (OWNER)
(484) 860-5551
Entity
Organization
Contact information
Practice address
5868 OLD JACKSONVILLE HWY STE 400, TYLER, TX 75703-0739
(903) 710-1779
Mailing address
5868 OLD JACKSONVILLE HWY STE 400, TYLER, TX 75703-0739
(903) 710-1779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31955
GENERAL DENTISTRY
TX
Enumeration date
10/05/2022
Last updated
10/05/2022
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