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Individual

ANDREA MARIA VASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
710 W ENNIS AVE, ENNIS, TX 75119-3802
(972) 875-8775
Mailing address
10 ADDISON CT, MANSFIELD, TX 76063-5511
(469) 601-0929

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40404
TX
122300000X
Dentist
DEN.00205138
CO

Other

Enumeration date
06/09/2022
Last updated
05/02/2026
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