| NPI | 1336894708 |
|---|---|
| Doing Business As | VIVE DENTAL DAY SPA |
| Entity Type | Organization |
| Authorized Contact | CAROLINE REED Consultant 443-285-3385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-02-15 |