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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