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Individual
REBECA VIEGO
Active
Individual
REBECA VIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD5254
NM
1223G0001X
General Practice Dentistry
DN20534
FL
Other
Enumeration date
04/03/2013
Last updated
06/15/2020
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