| NPI | 1093176380 |
|---|---|
| Doing Business As | VACAVILLE DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | USHA R MANTENA Owner 707-215-5259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |