| NPI | 1477226892 |
|---|---|
| Doing Business As | VIVID SMILES |
| Entity Type | Organization |
| Authorized Contact | JORGE VIVONI Dentist 703-333-6077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2021-07-30 |