JEREMY VISTICA, DMD
Dentist - Orthodontics and Dentofacial Orthopedics
Active
Individual
NPI: 1639368582
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | D8993 (OR) |
| Dentist - Orthodontics and Dentofacial Orthopedics | 1223X0400X | Yes | 109231 (CA) |
Frequently Asked Questions
NPI 1639368582 is the National Provider Identifier for JEREMY VISTICA, DMD, a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Huntington Beach, CA. This NPI was enumerated on October 16, 2007.
JEREMY VISTICA, DMD practices at 5512 MARYPORT DR, Huntington Beach, CA 92649.
Quick Facts
- NPI
- 1639368582
- Type
- Individual
- Enumerated
- Oct 16, 2007
- Last Updated
- Oct 1, 2024
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