Individual
ALBERTA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
150 TEJAS PL, NIPOMO, CA 93444-9123
(805) 931-2535
Mailing address
150 TEJAS PL, NIPOMO, CA 93444-9123
(805) 931-2535
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
27597
CA
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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