Organization
SUN ORTHODONTIX OF VICTORIA, PLLC
Active
Organization
SUN ORTHODONTIX OF VICTORIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTEL DINKLER (CHIEF FINANCIAL OFFICER)
(361) 654-5616
Entity
Organization
Contact information
Practice address
7002 NE ZAC LENTZ PKWY, SUITE B, VICTORIA, TX 77904-3450
(361) 573-7464
(361) 573-0282
Mailing address
1620 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78416-1353
(361) 853-1900
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009297503
—
TX
05
—
1295991271
—
TX
05
—
1609089978
—
TX
05
—
1609883404
—
TX
05
—
168370801
—
TX
01
—
1801975636
NPI
TX
Enumeration date
01/20/2010
Last updated
04/03/2012
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