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Individual
DR. NELLY SAIDA VASQUEZ
Active
Individual
DR. NELLY SAIDA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051886
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02636455
—
NY
Enumeration date
04/24/2007
Last updated
12/02/2014
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