| NPI | 1073164141 |
|---|---|
| Doing Business As | RIO VISTA FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TWYLA M PARDON Regional Director Of Operations 714-420-0952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |