Individual
DR. JORGE ANTONIA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2136 W 8TH ST, CINCINNATI, OH 45204-2052
(513) 357-7289
Mailing address
3101 BURNET AVENUE, CINCINNATI, OH 45229
(513) 357-7289
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30021505
OH
Other
Enumeration date
09/11/2006
Last updated
07/12/2012
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