| NPI | 1942558077 |
|---|---|
| Doing Business As | VISTA DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEROME MENDIOLA OCAMPO Owner 909-645-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 26106) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-09-06 |