Organization
EDEGAR VERGARA, DMD INC
Active
Other names
680 DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDEGAR VERGARA DMD (CEO)
(669) 284-9988
Entity
Organization
Contact information
Practice address
2340 MCKEE RD STE 3, SAN JOSE, CA 95116-1615
(669) 284-9988
Mailing address
2340 MCKEE RD STE 3, SAN JOSE, CA 95116-1615
(669) 284-9988
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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