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Organization
RONALDO C. VARGAS D.D.S. INC.
Active
Organization
RONALDO C. VARGAS D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALDO CAGUIA VARGAS D.D.S. (DENTIST)
(714) 670-0919
Entity
Organization
Contact information
Practice address
6875 WESTERN AVE, BUENA PARK, CA 90621-3231
(714) 670-0919
(714) 670-0870
Mailing address
6875 WESTERN AVE, BUENA PARK, CA 90621-3231
(714) 670-0919
(714) 670-0870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31992
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710020987
MEDI-CAL
CA
Enumeration date
04/02/2014
Last updated
04/02/2014
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