Organization · Type 2 NPI

David Vaca JR DDS PA

Dental Clinic/Center · Longview, TX

NPI number 1710774575 Active

Practice location

3121 H G Mosley Pkwy
Longview, TX 75605-2942

Call (903) 663-5895 Map

Fax (903) 663-9148

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1710774575

David Vaca JR DDS PA's National Provider Identifier is 1710774575, issued on Apr 23, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Longview, TX. The record was last updated on Apr 23, 2025.