MISS Desiree Vazquez, D.A
NPI #1043456221 in Clovis, California
Provider Information
- NPI Number
- 1043456221
- Entity Type
- Individual
- Name
- MISS Desiree Vazquez, D.A
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dental Assistant
- Credential
- D.A
- Enumeration Date
- Dec 18, 2008
- Last Updated
- Dec 18, 2008
Practice Location
- Address
- 200 W SHAW AVE
- Address 2
- SUITE 110
- City
- Clovis
- State
- California
- ZIP Code
- 93612-3684
- Phone
- (559) 458-1363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Assistant |
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