| NPI | 1972869337 |
|---|---|
| Doing Business As | LOMA VISTA DENTAL |
| Entity Type | Organization |
| Authorized Contact | VATCHE SARKIS WASSILIAN Owner 559-323-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 58255) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 58255) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-12 |