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Organization
NORMA VAZQUEZ DDS, INC.
Active
Organization
NORMA VAZQUEZ DDS, INC.
Active
Other names
West Coast Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA VAZQUEZ DDS (PRESIDENT)
(951) 352-0500
Entity
Organization
Contact information
Practice address
4060 MADISON ST, RIVERSIDE, CA 92504-2642
(951) 352-0500
(951) 352-0600
Mailing address
4060 MADISON ST, RIVERSIDE, CA 92504-2642
(951) 352-0500
(951) 352-0600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54688
CA
1223G0001X
General Practice Dentistry
54688
CA
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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