Vivid Smiles
NPI #1477226892 in Springfield, Virginia
Provider Information
- NPI Number
- 1477226892
- Entity Type
- Organization
- Organization Name
- Vivid Smiles
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 30, 2021
- Last Updated
- Jul 30, 2021
Practice Location
- Address
- 7011 BACKLICK CT
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22151-3903
- Phone
- (703) 333-6077
Authorized Official
- Name
- DR. JORGE VIVONI, DMD
- Title
- DENTIST
- Phone
- (703) 333-6077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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