| NPI | 1245457852 |
|---|---|
| Doing Business As | WILDOMAR EYE CARE |
| Entity Type | Organization |
| Authorized Contact | TAN DUY VU President 951-678-7690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12670T) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2011-07-08 |