Organization
LOPEZ VARGAS DDS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH VARGAS FRAILE DDS (DENTIST)
(951) 375-9204
Entity
Organization
Contact information
Practice address
12626 CENTRAL AVE, CHINO, CA 91710-3508
(909) 628-6005
Mailing address
12626 CENTRAL AVE, CHINO, CA 91710-3508
(909) 628-6005
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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