NPI | 1558593178 |
---|---|
Doing Business As | VISTA VILLAGE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MEHRNAZ IRANI President 858-414-7705 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 52063) |
Enumeration Date | 2009-08-15 |
Last Update Date | 2009-08-15 |