Individual
DR. LAQUIA VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S, MPH
Contact information
Practice address
705 RILEY HOSPITAL DR, SUITE 4205, INDIANAPOLIS, IN 46202-5109
(317) 944-9604
(317) 948-0760
Mailing address
705 RILEY HOSPITAL DR, SUITE 4205, INDIANAPOLIS, IN 46202-5109
(317) 944-9604
(317) 948-0760
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12010589A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200515490
—
IN
Enumeration date
06/30/2005
Last updated
04/23/2014
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