Organization
VARGAS GROUP INC. DBA GUADALUPE DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET CORVI (CORPORATE SECRETARY)
(510) 215-0143
Entity
Organization
Contact information
Practice address
4016 MACDONALD AVE, RICHMOND, CA 94805-2249
(415) 819-6689
(510) 215-0507
Mailing address
4016 MACDONALD AVE, RICHMOND, CA 94805-2249
(415) 819-6689
(510) 215-0507
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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