Organization
FV DENTA PLLC
Active
Other names
Kids Dental & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LEE VERA DMD (OWNER-DENTIST)
(915) 444-2567
Entity
Organization
Contact information
Practice address
10670 N. LOOP DR., SOCORRO, TX 79927
(915) 444-2567
(949) 537-7137
Mailing address
10670 N. LOOP DR., SOCORRO, TX 79927
(915) 444-2567
(949) 537-7137
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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