Individual
DR. TATYANA VAZEMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4429 GRIGGS RD STE A, HOUSTON, TX 77021-2852
(281) 979-7688
Mailing address
16535 TOWN LAKE CT, HOUSTON, TX 77059-5546
(281) 979-7688
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
28354
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255568648
—
NY
Enumeration date
06/12/2009
Last updated
04/20/2022
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