Dr. Thomas Robert Fordiani, DDS
Dentist, General Practice in Victoria, TX. Individual provider (NPI-1).
NPI number1346357977
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1346357977
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas Robert Fordiani
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 18582 | TX | Yes |
Practice location
102 Professional Park DrVictoria, TX 77904-2351
Phone 361-578-3544 · Fax 361-572-3340
Mailing address
102 Professional Park DrVictoria, TX 77904-2351
Phone 361-578-3544 · Fax 361-572-3340
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