EDEGAR VERGARA

SAN JOSE, CA
NPI1326463126
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  63272)
Additional Taxonomies122300000X Dentist
(Licence: OH  30-024422)
Enumeration Date2014-03-03
Last Update Date2018-04-16
Business Address
Dr. EDEGAR VERGARA DMD
2340 MCKEE RD STE 3
SAN JOSE, CA 95116-1615
Phone number: 669-284-9988
Mailing Address
Dr. EDEGAR VERGARA DMD
4621 CAPITAN DR
FREMONT, CA 94536-5447
Phone number: 510-585-7977
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