Provider Demographics
NPI:1891961819
Name:NAGUIAT, ANTONIO VARGAS JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:VARGAS
Last Name:NAGUIAT
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33378 ALVARADO NILES RD
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-3199
Mailing Address - Country:US
Mailing Address - Phone:510-487-3912
Mailing Address - Fax:510-487-6566
Practice Address - Street 1:33378 ALVARADO NILES RD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-3199
Practice Address - Country:US
Practice Address - Phone:510-487-3912
Practice Address - Fax:510-487-6566
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39051122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist