Individual
DANIRA MAZZOCCO VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 MCHENRY AVE STE C, MODESTO, CA 95350-3264
(209) 435-9550
Mailing address
3816 LORENE CT, MODESTO, CA 95356-0828
(209) 681-5458
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
113675
CA
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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