Individual
FRANK VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
3100 BROADWAY ST STE 101B, HOUSTON, TX 77017-2338
(832) 767-1037
Mailing address
3100 BROADWAY ST STE 101B, HOUSTON, TX 77017-2338
(832) 767-1037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20793
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175321202
—
TX
Enumeration date
05/04/2007
Last updated
10/05/2012
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