Individual
BEATRIZ FONSECA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 S UNIVERSITY DR, FT LAUDERDALE, FL 33328-2004
(800) 356-0026
Mailing address
10551 W BROWARD BLVD APT 111, PLANTATION, FL 33324-2129
(561) 843-5778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
STUDENT
FL
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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