| Vista Village Family Dentistry | |
|
950 Escondido Ave Ste B Vista CA 92083-5208 | |
| (760) 208-4030 | |
| (760) 650-0098 |
| Full Name | Vista Village Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 950 Escondido Ave Ste B, Vista, California |
| Authorized Official Name and Position | Mehrnaz Irani (PRESIDENT) |
| Authorized Official Contact | 8584147705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Village Family Dentistry 12463 Rancho Bernardo Rd # 525 San Diego CA 92128-2143 Ph: (858) 414-7705 | Vista Village Family Dentistry 950 Escondido Ave Ste B Vista CA 92083-5208 Ph: (760) 208-4030 |
| NPI Number | 1558593178 |
|---|---|
| Provider Enumeration Date | 08/15/2009 |
| Last Update Date | 08/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558593178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 52063 (California) | Primary |
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