| NPI | 1447695358 |
|---|---|
| Doing Business As | VISTA RIDGE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MAX KERR President 210-326-5744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 25202) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |