Individual
JONATHAN VASQUEZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
40930 N IRONWOOD DR STE 109, QUEEN CREEK, AZ 85140-8829
(480) 347-0753
Mailing address
1057 S DEERFIELD LN, GILBERT, AZ 85296-2898
(904) 294-2482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011815
AZ
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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