| NPI | 1154673101 |
|---|---|
| Doing Business As | BELLA VISTA DENTAL |
| Entity Type | Organization |
| Authorized Contact | LARA PERRY President 830-379-8902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 22207) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |