| NPI | 1316633001 |
|---|---|
| Doing Business As | BELLA VITA DENTAL LLC |
| Entity Type | Organization |
| Authorized Contact | CLARA D PROFFITT Owner 480-370-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-18 |