Individual
DR. STEPHANIE JASMINE VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
789 S VICTORIA AVE STE 204, VENTURA, CA 93003-9077
(805) 644-5516
Mailing address
15832 MAGNOLIA BLVD, ENCINO, CA 91436-1513
(631) 332-3134
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
105719
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/11/2018
Last updated
03/24/2022
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