De La Vega, Edgardo A.

De La Vega, Edgardo A. is an sole proprietor health care provider with primary practice located at 22114 Roscoe Blvd , Canoga Park CA 91304-3838. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. De La Vega, Edgardo A. can be contacted via phone (818) 348-8713.

Contact Information

Primary practice address
22114 Roscoe Blvd Canoga Park CA 91304-3838
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22336 California

Profile Details

NPI number 1164544573
LBN Legal business name De La Vega, Edgardo A.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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