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NPI Code Detail

MEDICARE: MARISOL VARGAS DDS PC

MEDICARE: MARISOL VARGAS DDS PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223D0001XPublic Health Dentistry

General Provider Information

NPI Number : 1235847088
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARISOL VARGAS DDS PC
Provider Business Mailing Address
First Line : 1018 N ZANG BLVD STE 150
Second Line :
City : DALLAS
State : TX
Zip : 75208-4123
Country : US
Telephone Number : 214-941-0039
Fax Number :
Provider Business Practice Location Address
First Line : 1018 N ZANG BLVD STE 150
Second Line :
City : DALLAS
State : TX
Zip : 75208-4123
Country : US
Telephone Number : 214-941-0039
Fax Number :
Authorized Official
Title or Position : CREDENTIALING ASSISTANT
Name : BENJAMIN TUINEI
Credential :
Telephone Number : 888-808-4513
Provider Enumeration Date : 11/10/2022
Last Update Date : 11/10/2022

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Directions to “MARISOL VARGAS DDS PC ” Practice Location

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