Organization
DAVID K. VAZQUEZ D.D.S. PLC
Active
Other names
Motor Mouth Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID K. VAZQUEZ D.D.S (OWNER)
(313) 429-1005
Entity
Organization
Contact information
Practice address
1150 MASON ST, DEARBORN, MI 48124-2801
(313) 429-1005
(313) 429-1008
Mailing address
1150 MASON ST, DEARBORN, MI 48124-2801
(313) 429-1005
(313) 429-1008
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043749492
—
MI
05
—
1154701969
—
MI
05
—
1487905998
—
MI
Enumeration date
06/24/2020
Last updated
06/24/2020
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