| Vista Dental, Pllc | |
|
9195 Staples Mill Rd Henrico VA 23228-2027 | |
| (804) 672-7070 | |
| Not Available |
| Full Name | Vista Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9195 Staples Mill Rd, Henrico, Virginia |
| Authorized Official Name and Position | Mitsu Joshi (OWNER/SOLE MEMBER) |
| Authorized Official Contact | 8046727070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Dental, Pllc Po Box 2879 Glen Allen VA 23058-2879 Ph: () - | Vista Dental, Pllc 9195 Staples Mill Rd Henrico VA 23228-2027 Ph: (804) 672-7070 |
| NPI Number | 1114211919 |
|---|---|
| Provider Enumeration Date | 06/09/2011 |
| Last Update Date | 06/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114211919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401411436 (Virginia) | Primary |
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