Individual
MICHELLE JUANITA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 AREA DENTAL CLINIC (CHAPPO) BUILDING 22190 10TH ST, CAMP PENDLETON, CA 92055-5221
(760) 725-3300
Mailing address
1ST DNBN ATTN: CREDENTIALS, BOX 555221, CAMP PENDLETON, CA 92055-5221
(760) 539-2081
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
19900
CA
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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