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Individual
DR. FRANCISCO C ENVERGA
Active
Individual
DR. FRANCISCO C ENVERGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37413
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37413
DENTAL LICENSE NO.
CA
01
—
508330
UNITED CONCORDIA I. D.
CA
05
—
B37413-01
—
CA
Enumeration date
08/05/2006
Last updated
01/27/2011
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