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NPI Code Detail

MEDICARE: DR. JOSEPH WILLIAM VARGAS D.D.S.

MEDICARE: DR. JOSEPH WILLIAM VARGAS D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
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General Provider Information

NPI Number : 1891744009
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH WILLIAM VARGAS D.D.S.
Provider Business Mailing Address
First Line : 3002 RIVERVIEW DR
Second Line :
City : FAIRBANKS
State : AK
Zip : 99709-4735
Country : US
Telephone Number : 907-460-2054
Fax Number :
Provider Business Practice Location Address
First Line : 1060 GAFFNEY RD
Second Line : #7500, BLDG 4070
City : FORT WAINWRIGHT
State : AK
Zip : 99703-5001
Country : US
Telephone Number : 907-353-2917
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2006
Last Update Date : 07/08/2007

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