Edward Lee Vera, D.M.D. Valid NPI
Individual provider · Dentist · Fontana, CA
- NPI
- 1033468368
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 29646 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2012-08-31
- Last updated
- 2020-05-26
Practice location
16946 Marygold Ave Ste 101
Fontana, CA 92335-1724
(909) 355-0385