Individual
MRS. CATHERINE WIECHECKI VERGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
150 E COLUMBIA LN, COCOA BEACH, FL 32931-4606
(321) 784-4794
(321) 783-0747
Mailing address
150 E COLUMBIA LN, COCOA BEACH, FL 32931-4606
(321) 784-4794
(321) 783-0747
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
19449
TX
122300000X
Dentist
Primary
DN15077
FL
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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