Organization
ROBERTO VASQUEZ, A DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO VASQUEZ DDS (PRESIDENT)
(951) 737-4479
Entity
Organization
Contact information
Practice address
760 WASHBURN AVE, CORONA, CA 92882-3303
(951) 737-4479
(951) 737-1602
Mailing address
760 WASHBURN AVE, CORONA, CA 92882-3303
(951) 737-4479
(951) 737-1602
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
46442
CA
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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