La Vernia Dental

NPI #1144850728 in La Vernia, Texas

Provider Information

NPI Number: 1144850728
Entity Type: Organization
Organization Name: La Vernia Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 22, 2020
Last Updated: May 23, 2024

Practice Location

Address: 101 VILLAS DRIVE
City: La Vernia
State: Texas
ZIP Code: 78121-4491
Phone: (830) 779-6511

Authorized Official

Name: MARK A SIMMONS, DDS
Title: DR
Phone: (830) 779-6511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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