| NPI | 1194591669 |
|---|---|
| Doing Business As | VITAL DENTAL |
| Entity Type | Organization |
| Authorized Contact | MITUL PATEL Dentist 863-558-1045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |