Individual
MRS. AUDREY V. VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
6875 WESTERN AVE, BUENA PARK, CA 90621-3231
(714) 670-0919
(714) 670-0870
Mailing address
6875 WESTERN AVE, BUENA PARK, CA 90621-3231
(714) 670-0919
(714) 670-0870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36445
CA
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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