| NPI | 1386058857 |
|---|---|
| Doing Business As | VICENCIO DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CHERYL G. VICENCIO Owner/President 408-255-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 39908) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |