Individual
DR. IVAN A VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
801 MOTOR PKWY, HAUPPAUGE, NY 11788-5256
(631) 348-1501
(631) 851-9334
Mailing address
801 MOTOR PKWY, HAUPPAUGE, NY 11788-5256
(631) 348-1501
(631) 851-9334
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
043487
NY
Other
Enumeration date
10/16/2005
Last updated
07/08/2007
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