Individual
JEREMY VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1125 S 7 HWY, BLUE SPRINGS, MO 64014-3204
(816) 622-1029
Mailing address
117 W 20TH ST APT 409, KANSAS CITY, MO 64108-2080
(432) 940-5709
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2018043424
MO
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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