Individual
DIANA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4807 MAPLE AVE STE 300, DALLAS, TX 75219-1079
(469) 278-8747
Mailing address
8050 FALL RIVER DR, DALLAS, TX 75228-5915
(469) 278-8747
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32082
TX
Other
Enumeration date
09/01/2016
Last updated
03/16/2024
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