| NPI | 1114176609 |
|---|---|
| Doing Business As | VIVID DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | TEJAS SHAH Secretary 714-871-4892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34900) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |