Organization
VIVID DENTISTRY PLLC
Active
Other names
Vosh Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHA PATEL (MEMBER)
(912) 484-3405
Entity
Organization
Contact information
Practice address
4541 HERITAGE TRACE PKWY STE 1301, FORT WORTH, TX 76244-8921
(912) 484-3405
Mailing address
2637 TOLEDO DR, IRVING, TX 75062-4810
(912) 484-3405
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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