| NPI | 1740809938 |
|---|---|
| Doing Business As | VISTA SMILES |
| Entity Type | Organization |
| Authorized Contact | JEFFREY MICHAEL ANDERSON President 661-474-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |