Individual
EFRAIN JOSE VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9601 MANCHESTER RD, SAINT LOUIS, MO 63119-1333
(314) 274-6319
Mailing address
9601 MANCHESTER RD, SAINT LOUIS, MO 63119-1333
(314) 274-6319
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019031895
IL
1223G0001X
General Practice Dentistry
Primary
2021042338
MO
1223G0001X
General Practice Dentistry
DDS105941
CA
Other
Enumeration date
09/28/2018
Last updated
11/18/2021
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