Individual
HUGO F VASQUEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS.
Contact information
Practice address
4026 69TH ST, WOODSIDE, NY 11377-3836
(718) 507-9731
(718) 507-2700
Mailing address
4026 69TH ST, WOODSIDE, NY 11377-3836
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01283150
—
NY
Enumeration date
10/27/2005
Last updated
07/08/2007
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