EDGARDO A. DE LA VEGA

CANOGA PARK, CA
NPI1164544573
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  22336)
Enumeration Date2007-04-05
Last Update Date2007-07-08
Business Address
-- EDGARDO A. DE LA VEGA DDS
22114 ROSCOE BLVD
CANOGA PARK, CA 91304-3838
Phone number: 818-348-8713
Mailing Address
-- EDGARDO A. DE LA VEGA DDS
22114 ROSCOE BLVD
CANOGA PARK, CA 91304-3838
Phone number: 818-348-8713