Organization
ZENEIDA G VASQUEZ DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZENEIDA G. VASQUEZ DDS (OWNER)
(405) 703-1000
Entity
Organization
Contact information
Practice address
1224 SW 104TH ST, SUITE B, OKLAHOMA CITY, OK 73139-3020
(405) 703-1000
(405) 703-2277
Mailing address
PO BOX 248874, OKLAHOMA CITY, OK 73124-8874
(405) 848-7974
(405) 848-0033
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
126
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200046520A
—
OK
Enumeration date
02/05/2007
Last updated
10/22/2014
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