Provider Demographics
NPI:1710275235
Name:ARGUELLO, VIGARNY A JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:VIGARNY
Middle Name:A
Last Name:ARGUELLO
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N STATE ROAD 7
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-4520
Mailing Address - Country:US
Mailing Address - Phone:954-532-1274
Mailing Address - Fax:954-532-1797
Practice Address - Street 1:100 N STATE ROAD 7
Practice Address - Street 2:SUITE 300
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-4520
Practice Address - Country:US
Practice Address - Phone:954-532-1274
Practice Address - Fax:954-532-1797
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN194211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice