DR. Ivan A Vazquez, DDS

NPI #1811986557 in Hauppauge, New York

Provider Information

NPI Number
1811986557
Entity Type
Individual
Name
DR. Ivan A Vazquez, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Pediatric Dentistry
Credential
DDS
Enumeration Date
Oct 16, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
801 MOTOR PKWY
ZIP Code
11788-5256
Phone
(631) 348-1501

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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