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 |