Individual
DR. FELIPE SANTIAGO VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7704 JAMAICA AVE, WOODHAVEN, NY 11421-1852
(718) 296-0076
(718) 296-9069
Mailing address
7704 JAMAICA AVE, WOODHAVEN, NY 11421-1852
(718) 296-0076
(718) 296-9069
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045029
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01461985
—
NY
01
—
970818
UNITED CONCORDIA
NY
Enumeration date
03/07/2007
Last updated
07/09/2007
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