| NPI | 1225041858 |
|---|---|
| Doing Business As | VILLAGE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ANDREA VIVIAN President 7734-453-7948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |