Individual
MRS. DHARMA IVONNE BAYRON VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14750 NW 77TH CT STE 301, MIAMI LAKES, FL 33016-1537
(305) 823-9463
Mailing address
F15 CALLE CORRIENTE, URB. EL REMANSO, SAN JUAN, PR 00926-6108
(787) 552-8787
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN24943
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2016
Last updated
08/12/2021
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