Edgardo A. De La Vega, DDS
NPI #1164544573 in Canoga Park, California
Provider Information
- NPI Number
- 1164544573
- Entity Type
- Individual
- Name
- Edgardo A. De La Vega, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Apr 5, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 22114 ROSCOE BLVD
- City
- Canoga Park
- State
- California
- ZIP Code
- 91304-3838
- Phone
- (818) 348-8713
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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