Individual
VICTORIA VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5155 BRADENTON AVE STE 100, DUBLIN, OH 43017-7559
(614) 764-9455
Mailing address
5155 BRADENTON AVE STE 100, DUBLIN, OH 43017-7559
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30.027002
OH
Other
Enumeration date
04/10/2018
Last updated
09/26/2023
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