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Search › California › General Practice Dentistry

Edgardo De La Vega, DDS

NPI 1164544573 · on the registry since 2007 · sole proprietor

Practice

Address
22114 Roscoe Blvd
Canoga Park, CA 91304
Phone
(818) 348-8713
Organisation at this address
Ebi Nikjoo Dental Corp
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California