Individual
ANTHONY PAUL VARBONCOEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5565 GROSSMONT CENTER DR, SUITE 129, LA MESA, CA 91942-3020
(619) 463-4486
Mailing address
5565 GROSSMONT CENTER DR, SUITE 129, LA MESA, CA 91942-3020
(619) 463-4486
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
37512
CA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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