Individual
DR. EDWARD LEE VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
16946 MARYGOLD AVE STE 101, FONTANA, CA 92335-1724
(909) 355-0385
Mailing address
10670 N LOOP DR, SOCORRO, TX 79927-4613
(915) 444-2567
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29646
TX
122300000X
Dentist
61531
CA
Other
Enumeration date
08/31/2012
Last updated
05/26/2020
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