| NPI | 1104283720 |
|---|---|
| Doing Business As | VISTA SMILES OF COLUMBIA |
| Entity Type | Organization |
| Authorized Contact | WESLEY B PHILLIPS President/Owner 803-779-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |