| NPI | 1578223582 |
|---|---|
| Doing Business As | VILLAGE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ROSELYN MANALO Credentialing Coordinator 714-941-9328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |