Individual
MRS. MEGAN VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 CREEKSIDE CT, ROSEVILLE, CA 95678-4303
(153) 068-0429
Mailing address
704 CREEKSIDE CT, ROSEVILLE, CA 95678-4303
(530) 680-4290
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
CA
Other
Enumeration date
06/15/2022
Last updated
07/29/2022
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