Organization
JORGE VASQUEZ-GARCIA DDS DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE VASQUEZ-GARCIA DDS (PRESIDENT)
(707) 536-3685
Entity
Organization
Contact information
Practice address
750 STONY POINT RD STE A130, SANTA ROSA, CA 95407-6863
(707) 536-3685
Mailing address
750 STONY POINT RD STE A130, SANTA ROSA, CA 95407-6863
(707) 536-3685
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
53286
CA
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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