| NPI | 1972787794 |
|---|---|
| Former Legal Business Name | VICKI VIDA KESTLER DENTAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | VICKI LYNN VIDA Owner/President 661-406-6113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41842) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2025-05-08 |