Viv Legacy Pllc

NPI #1588430706 in Webster, Texas

Provider Information

NPI Number: 1588430706
Entity Type: Organization
Organization Name: Viv Legacy Pllc
Primary Specialty: Dentist
Enumeration Date: Nov 29, 2023
Last Updated: Nov 29, 2023

Practice Location

Address: 199 BLOSSOM ST
City: Webster
State: Texas
ZIP Code: 77598-4414
Phone: (848) 466-6909

Authorized Official

Name: VISHAL DHATRAK, DDS
Title: DENTIST
Phone: (848) 466-6909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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