Individual
ANA LUISA DELA VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1957 FREMONT BLVD, SEASIDE, CA 93955-3132
(831) 296-1333
Mailing address
19637 JUNIPER LOOP, MORGAN HILL, CA 95037-9292
(510) 468-3813
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
113240
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2024
Last updated
07/10/2026
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