| NPI | 1528557824 |
|---|---|
| Doing Business As | VIBRANT SMILE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | REBECCA DOUGLASS Office Manager 757-466-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412950) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |