| NPI | 1295587780 |
|---|---|
| Doing Business As | VIDA FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | OMAR LARA Manager 469-309-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-04-05 |