| NPI | 1508273046 |
|---|---|
| Doing Business As | 4TH-VERMONT DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | RUBEN R SANTANA Dentist 213-386-1418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 37495) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |