Individual
JOSE ANGELO RAGON VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2420 VISTA WAY STE 210, OCEANSIDE, CA 92054-6190
(760) 724-1102
(760) 724-1471
Mailing address
2420 VISTA WAY STE 210, OCEANSIDE, CA 92054-6190
(760) 724-1102
(760) 724-1471
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
54036
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D54036
—
CA
Enumeration date
03/07/2007
Last updated
12/21/2018
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