Vanida Wongchukit DDS PA
NPI #1053568451 in Missouri City, Texas
Provider Information
- NPI Number
- 1053568451
- Entity Type
- Organization
- Organization Name
- Vanida Wongchukit DDS PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 27, 2008
- Last Updated
- Aug 27, 2008
Practice Location
- Address
- 4727 LEXINGTON BLVD
- City
- Missouri City
- State
- Texas
- ZIP Code
- 77459-2825
- Phone
- (281) 403-3595
Authorized Official
- Name
- DR. VANIDA WONGCHUKIT, DDS
- Title
- PRESIDENT
- Phone
- (281) 403-3595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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