Fortuna a Vardeman DDS PC
NPI #1659689776 in Universal City, Texas
Provider Information
- NPI Number
- 1659689776
- Entity Type
- Organization
- Organization Name
- Fortuna a Vardeman DDS PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- RANDOLPH FAMILY DENTAL
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 23, 2010
- Last Updated
- Sep 23, 2010
Practice Location
- Address
- 117 E LANGLEY
- City
- Universal City
- State
- Texas
- ZIP Code
- 78148-4414
- Phone
- (210) 658-9031
Authorized Official
- Name
- DR. FORTUNA ALAPAG VARDEMAN, DDS
- Title
- OWNER
- Phone
- (210) 658-9031
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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