C.leon Vasquez Dental Service PC

NPI #1962674697 in Woodside, New York

Provider Information

NPI Number: 1962674697
Entity Type: Organization
Organization Name: C.leon Vasquez Dental Service PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 2, 2008
Last Updated: Apr 2, 2008

Practice Location

Address: 40-27 69TH ST
City: Woodside
State: New York
ZIP Code: 11377-3836
Phone: (718) 507-9731

Authorized Official

Name: DR. LEON A VASQUEZ, DDS
Title: PRESIDENT
Phone: (718) 507-9731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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