| NPI | 1164132460 |
|---|---|
| Doing Business As | VISTA DENTAL |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS QUACH Member 956-287-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-11-29 |