Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MAITE VARGAS DENTAL CORPORATION
Active
Organization
MAITE VARGAS DENTAL CORPORATION
Active
Other names
DENTIST ON WHEELS CA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAITE VARGAS DDS (CEO)
(786) 554-9845
Entity
Organization
Contact information
Practice address
500 S BROADWAY, SUITE 246, SANTA MARIA, CA 93454-5148
(855) 369-8585
Mailing address
500 S BROADWAY, SUITE 246, SANTA MARIA, CA 93454-5148
(855) 369-8585
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
54219
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54219
DENTAL BOARD OF CALIFORNIA
CA
Enumeration date
09/12/2013
Last updated
09/12/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers