Organization · Type 2 NPI
Vista Ridge Dental Arts Studio, LLC
Dental Clinic/Center · Johnson City, TN
NPI number
1154837292
Active
Practice location
108 W 10th Ave
Johnson City, TN 37604-3800
Fax (423) 979-1802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 10324 (TN) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1154837292
Vista Ridge Dental Arts Studio, LLC's National Provider Identifier is 1154837292, issued on Dec 27, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Johnson City, TN. The record was last updated on Dec 27, 2017.