Fortuna A Vardeman DENTIST

NPI 1053404897 - Dentist - 1223G0001X

NPI Details
NPI 1053404897
Gender Female
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
117 E LANGLEY
UNIVERSAL CITY TX, 78148, US
Phone (210) 658-9031
Fax (210) 658-8202
Business Location
117 E LANGLEY
UNIVERSAL CITY TX, 78148, US
Phone (210) 658-9031
Fax (210) 658-8202
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 18827
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According to our database, Dr. Fortuna A Vardeman DENTIST NPI is 1053404897, taxonomy code is 1223G0001X and license number is 18827, license state is located at Texas. Fortuna A Vardeman DENTIST physically located at 117 E Langley, Universal City TX, 78148. NPI Number Fortuna A Vardeman DENTIST has the Individual type.

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1053404897 NPI number is provided on an as is basis without warranty of any kind. 1053404897 is maintained by the National Plan & Provider Enumeration System. The contents of Fortuna A Vardeman DENTIST are for informational purposes only.