Organization
VIBRANT DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERI GUIDO-WALKER DDS (OWNER)
(765) 427-5562
Entity
Organization
Contact information
Practice address
150 PROFESSIONAL CT STE B, LAFAYETTE, IN 47905-5153
(765) 448-4242
Mailing address
150 PROFESSIONAL CT STE B, LAFAYETTE, IN 47905-5153
(765) 448-4242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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