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Organization
JEFF VELASQUEZ, DDS, INC.
Active
Organization
JEFF VELASQUEZ, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF VELASQUEZ (OWNER)
(562) 424-9473
Entity
Organization
Contact information
Practice address
541 W WILLOW ST, LONG BEACH, CA 90806-2830
(562) 424-9473
(562) 989-1006
Mailing address
541 W WILLOW ST, LONG BEACH, CA 90806-2830
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50691
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073731063
NPPES.COMS.HHS.GOV.
CA
Enumeration date
03/02/2015
Last updated
03/02/2015
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