| NPI | 1679459994 |
|---|---|
| Doing Business As | VERSA DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | XIMENA D VENEGAS Managing Dentist 862-276-9243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |