Provider Demographics
NPI:1447997762
Name:VFS DENTAL LLC
Entity type:Organization
Organization Name:VFS DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VANESA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRULLON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:561-574-5502
Mailing Address - Street 1:951 SANSBURYS WAY STE 201
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-3619
Mailing Address - Country:US
Mailing Address - Phone:561-660-8101
Mailing Address - Fax:561-660-8103
Practice Address - Street 1:951 SANSBURYS WAY STE 201
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-3619
Practice Address - Country:US
Practice Address - Phone:561-660-8101
Practice Address - Fax:561-660-8103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty