Individual
EDUARDO VAZQUEZ CHAPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2105 S MARION ST APT G, KIRKSVILLE, MO 63501-0148
(832) 540-5549
Mailing address
2105 S MARION ST APT G, KIRKSVILLE, MO 63501-0148
(832) 540-5549
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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