Individual
ANDRES VACA DIEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11151 SOUTHERN BLVD STE 110, ROYAL PALM BEACH, FL 33411-4260
(561) 383-1975
Mailing address
168 PORGEE ROCK PL, JUPITER, FL 33458-1634
(561) 383-1975
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN31709
FL
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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