DR. Fernando Velasquez, DMD

NPI #1972925311 in Roseburg, Oregon

Provider Information

NPI Number: 1972925311
Entity Type: Individual
Name: DR. Fernando Velasquez, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jan 18, 2014
Last Updated: Feb 9, 2015

Practice Location

Address: 913 NW GARDEN VALLEY BLVD
Address 2: DENTAL CLINIC
City: Roseburg
State: Oregon
ZIP Code: 97471-6523
Phone: (541) 440-1242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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