Individual
DR. ROGER ABRAHAM VAZQUEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
816 E OLDHAM AVE, KNOXVILLE, TN 37917-5567
(865) 523-1072
Mailing address
816 E OLDHAM AVE, KNOXVILLE, TN 37917-5567
(865) 523-1072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2603
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3217050004873
—
TN
01
—
60236
BCBS
TN
Enumeration date
10/17/2005
Last updated
07/08/2007
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