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Individual
DR. EDEGAR VERGARA
Active
Individual
DR. EDEGAR VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30-024422
OH
122300000X
Dentist
Primary
63272
CA
Other
Enumeration date
03/03/2014
Last updated
04/16/2018
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