Individual
GRICEL VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3009 E 4TH AVE, HIALEAH, FL 33013-3210
(305) 691-1616
Mailing address
770 W 71ST PL, HIALEAH, FL 33014-4827
(786) 436-6541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN26304
FL
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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