Organization
DIBOLL DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINEET SHARMA DDS (OWNER/PROVIDER)
(541) 378-7928
Entity
Organization
Contact information
Practice address
404 N TEMPLE DR, STE A, DIBOLL, TX 75941-1736
(541) 378-7928
Mailing address
404 N TEMPLE DR, STE A, DIBOLL, TX 75941-1736
(541) 378-7928
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30165
TX
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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