| NPI | 1366850778 |
|---|---|
| Doing Business As | VIA VERDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BENNETT JEONG Owner 909-599-8331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 63595) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2021-06-22 |