NPI | 1093989329 |
---|---|
Doing Business As | VISTANCIA DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | PAUL S GEBHART Owner Doctor 623-218-6638 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2008-04-17 |
Last Update Date | 2008-04-17 |