| NPI | 1669868253 |
|---|---|
| Doing Business As | DENTAL 4 |
| Entity Type | Organization |
| Authorized Contact | JORGE ENRIQUE VITAL Owner 714-558-1464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 49701) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2021-12-03 |