| NPI | 1457414641 |
|---|---|
| Doing Business As | VINEYARD DENTAL |
| Entity Type | Organization |
| Authorized Contact | NANCY NOUSHIN AZIZI President 707-255-1172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 41231) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2013-12-20 |