VISTA FAMILY DENTISTRY LLC NPI 1861927535

NPI Information

VISTA FAMILY DENTISTRY, LLC is a general practice dentist in Waukesha, WI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. VISTA FAMILY DENTISTRY, LLC NPI is 1861927535. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20855 WATERTOWN RD
SUITE 120
WAUKESHA, WI
ZIP 53186-860
Phone: (262) 717-9104
Fax: (262) 717-9105

The provider's authorized official is Vassilis K Panagopoulos .
The authorized official title is Dentist/president and has the following contact phone number (262) 717-9104.

The enumeration date for this NPI number is 5/1/2017 and was last updated on 5/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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