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Individual

SIOMARA VARGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1730 E 60TH ST, LOS ANGELES, CA 90001-1418
(323) 809-8894
Mailing address
1730 E 60TH ST, LOS ANGELES, CA 90001-1418
(323) 809-8894

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
CA

Other

Enumeration date
01/24/2009
Last updated
01/24/2009
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