Individual
CARLA SUE VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
1025 W MAIN ST, PO BOX Q, PARK HILLS, MO 63601-2079
(573) 431-1947
(573) 431-7326
Mailing address
PO BOX Q, 1025 WEST MAIN STREET, PARK HILLS, MO 63601-0397
(573) 431-1947
(573) 431-7326
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002643
MO
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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