| Vista Village Dental Care | |
|
510 Hacienda Drive Suite 112 Vista CA 92081-6637 | |
| (760) 724-9940 | |
| (760) 724-9941 |
| Full Name | Vista Village Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 510 Hacienda Drive, Vista, California |
| Authorized Official Name and Position | John Hai Vuu (PRESIDENT) |
| Authorized Official Contact | 7607249940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Village Dental Care 510 Hacienda Drive Suite 112 Vista CA 92081-6637 Ph: (760) 724-9940 | Vista Village Dental Care 510 Hacienda Drive Suite 112 Vista CA 92081-6637 Ph: (760) 724-9940 |
| NPI Number | 1700965910 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700965910 | NPI | - | NPPES |
| B44556 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44556 (California) | Primary |
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