NPI | 1063934263 |
---|---|
Doing Business As | VIDA DENTAL CENTRAL |
Entity Type | Organization |
Authorized Contact | MARCIN BEDNARSKI Owner 512-454-5825 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2017-07-10 |
Last Update Date | 2022-07-21 |