Individual
DR. ANA VARGAS GODOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
14755 FOOTHILL BLVD, FONTANA, CA 92335-8025
(909) 349-1360
Mailing address
939 W CUMBERLAND ST, UPLAND, CA 91786-2729
(408) 509-5966
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
59589
CA
1223G0001X
General Practice Dentistry
59589
CA
Other
Enumeration date
08/06/2010
Last updated
02/21/2019
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