| NPI | 1225352289 |
|---|---|
| Doing Business As | VISTANCIA ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | DEVIN L CROFT Owner/ Provider 623-566-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ 7616) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2024-12-12 |