# VASPER DENTAL MANAGEMENT SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CONTINENTAL DENTAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013066828
- **Authorized official:** DR. JAIME VASQUEZ M.D. (OPERATIONAL DIRECTOR)
- **Authorized official phone:** (602) 248-9614

## Contact information

- **Practice address:** 3614 N 15TH AVE, SUITE B, PHOENIX, AZ 85015-5576
- **Practice address phone:** (602) 248-9614
- **Practice address fax:** (602) 274-2890
- **Mailing address:** 3614 N 15TH AVE, SUITE B, PHOENIX, AZ 85015-5576
- **Mailing address phone:** (602) 248-9614
- **Mailing address fax:** (602) 274-2890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 08/22/2020