Individual
LEROY VEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
UCLA SCHOOL OF DENTISTRY, 10833 LECONTE AVE 20-140, LOS ANGELES, CA 90095-1668
(310) 206-1770
(310) 206-5349
Mailing address
1319 LACHMAN LANE, PACIFIC PALISADES, CA 90272
(310) 230-9636
(310) 230-9916
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15606
CA
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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