| NPI | 1073976361 |
|---|---|
| Doing Business As | VACAVILLE DENTISTRY AND ORTHODONTICS DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | USHA R MANTENA Owner Doctor 707-215-5259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |