Organization
VASQUEZ DENTAL CORPORATION
Active
Other names
Tri-City Children's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ANGELO RAGON VASQUEZ D.D.S. (PRESIDENT/PEDIATRIC DENTIST)
(760) 724-1102
Entity
Organization
Contact information
Practice address
2420 VISTA WAY STE 210, OCEANSIDE, CA 92054
(760) 724-1102
(760) 724-1471
Mailing address
2420 VISTA WAY STE 210, OCEANSIDE, CA 92054-6190
(760) 724-1102
(760) 724-1471
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
54036
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770613598
NPI TYPE I
CA
05
—
D54036
—
CA
Enumeration date
01/12/2012
Last updated
12/21/2018
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