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Organization

JOHN VININGS, DDS, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN VININGS (DDS/PRACTICE OWNER)
(806) 748-9797
Entity
Organization

Contact information

Practice address
2811 S LOOP 289 STE 12, LUBBOCK, TX 79423-1443
(806) 748-9797
Mailing address
2811 S LOOP 289 STE 12, LUBBOCK, TX 79423-1443
(806) 748-9797

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19235
TX

Other

Enumeration date
11/06/2015
Last updated
11/06/2015
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