| NPI | 1407561442 |
|---|---|
| Doing Business As | VIBRANT FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | YASODA VARDHANI BOYAPATI Owner 432-233-1964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-04-07 |