Individual
IVONNE MARITZA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7244 W MCNAB RD, NORTH LAUDERDALE, FL 33068-5441
(954) 341-0002
Mailing address
3350 WATER OAK DR, HOLLYWOOD, FL 33021-8430
(954) 993-5615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN26218
FL
Other
Enumeration date
03/14/2019
Last updated
10/08/2024
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