Individual
SONIA VARGAS-MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2731 MLK JR BLVD, TUSCALOOSA, AL 35401-5235
(205) 349-3250
(205) 345-3993
Mailing address
2731 MLK JR BLVD, TUSCALOOSA, AL 35401-5235
(205) 349-3250
(205) 345-3993
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LNO5368
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51524031
BLUE CROSS
AL
Enumeration date
10/02/2006
Last updated
07/08/2007
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