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Organization
IVONNE VAZQUEZ DDS INC
Active
Organization
IVONNE VAZQUEZ DDS INC
Active
Other names
Overland Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVONNE VAZQUEZ DDS (DENTIST)
(951) 695-8711
Entity
Organization
Contact information
Practice address
41653 MARGARITA RD STE 107, TEMECULA, CA 92591-3000
(951) 695-8711
Mailing address
41653 MARGARITA RD STE 107, TEMECULA, CA 92591-3000
(951) 695-8711
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
50392
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161-908-6733
NPI INDIVIDUAL
CA
Enumeration date
09/17/2015
Last updated
09/17/2015
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