Individual provider · Type 1 NPI

Edgardo A. De la Vega, DDS

General Practice Dentistry · Canoga Park, CA

NPI number 1164544573 Active

About NPI 1164544573

Edgardo A. De la Vega, DDS's National Provider Identifier is 1164544573, issued on Apr 5, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Canoga Park, CA. The record was last updated on Jul 8, 2007.