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Individual
DR. IGNACIO VELASCO
Active
Individual
DR. IGNACIO VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
15341809-8
ZZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
OS-538-17
MS
Other
Enumeration date
08/20/2014
Last updated
01/31/2019
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