Organization
VASA DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANKIT VASA DDS (OWNER/PRESIDENT)
(714) 994-4334
Entity
Organization
Contact information
Practice address
7851 WALKER ST STE 201, LA PALMA, CA 90623-1746
(714) 994-4334
(714) 312-3563
Mailing address
7851 WALKER ST STE 201, LA PALMA, CA 90623-1746
(714) 994-4334
(714) 312-3563
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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