NPI 1053568451

Vanida Wongchukit DDS PA

Organisation General Practice Dentistry Missouri City, TX

Practice location

Address: 4727 Lexington Blvd, Missouri City, TX 77459-2825
Phone: (281) 403-3595
Fax: (281) 403-3709

Authorised official

Name: Vanida Wongchukit
Title: President
Phone: (281) 403-3595

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 20976 (TX)

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Registry record

NPI: 1053568451
Entity type: Organization
NPI issued: 27 Aug 2008
Record last updated: 27 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.