| Vista Dental Inc. | |
|
44601 10th St. West Lancaster CA 93534 | |
| (661) 948-0461 | |
| (661) 723-3684 |
| Full Name | Vista Dental Inc. |
|---|---|
| Speciality | Dentist |
| Location | 44601 10th St. West, Lancaster, California |
| Authorized Official Name and Position | Tamara Bajj Vwich (DENTIST/OWNER) |
| Authorized Official Contact | 6619480461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Dental Inc. 44601 10th St. West Lancaster CA 93534 Ph: (661) 948-0461 | Vista Dental Inc. 44601 10th St. West Lancaster CA 93534 Ph: (661) 948-0461 |
| NPI Number | 1396266730 |
|---|---|
| Provider Enumeration Date | 07/06/2017 |
| Last Update Date | 07/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396266730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 52128 (California) | Primary |
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