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Organization
VISTA DENTAL INC.
Active
Organization
VISTA DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA BAJJ VWICH DDS (DENTIST/OWNER)
(661) 948-0461
Entity
Organization
Contact information
Practice address
44601 10TH ST. WEST, LANCASTER, CA 93534
(661) 948-0461
(661) 723-3684
Mailing address
44601 10TH ST. WEST, LANCASTER, CA 93534
(661) 948-0461
(661) 723-3684
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
52128
CA
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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