Individual
ULYSSES VERGARA-BORGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1015 S 16TH AVE, YAKIMA, WA 98902-5316
(509) 574-4917
Mailing address
1001 CHAFFEE RD, OUTLOOK, WA 98938-9506
(509) 830-2972
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH70015353
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2025
Last updated
07/23/2025
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