| Lopez Vargas Dds Dental Corporation | |
|
12626 Central Ave Chino CA 91710-3508 | |
| (909) 628-6005 | |
| Not Available |
| Full Name | Lopez Vargas Dds Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12626 Central Ave, Chino, California |
| Authorized Official Name and Position | Elizabeth Vargas Fraile (DENTIST) |
| Authorized Official Contact | 9513759204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lopez Vargas Dds Dental Corporation 12626 Central Ave Chino CA 91710-3508 Ph: (909) 628-6005 | Lopez Vargas Dds Dental Corporation 12626 Central Ave Chino CA 91710-3508 Ph: (909) 628-6005 |
| NPI Number | 1528737913 |
|---|---|
| Provider Enumeration Date | 09/09/2021 |
| Last Update Date | 09/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528737913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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