Individual
IVET ROMERO VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1775 GRAND CONCOURSE FL 6, BRONX, NY 10453-8202
(305) 753-4515
Mailing address
1775 GRAND CONCOURSE FL 6, BRONX, NY 10453-8202
(305) 753-4515
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22624
FL
Other
Enumeration date
06/08/2017
Last updated
05/05/2020
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