Individual
MR. LUIS VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2034 DEVON ST, COLORADO SPRINGS, CO 80909-1618
(719) 354-9403
Mailing address
2034 DEVON ST, COLORADO SPRINGS, CO 80909-1618
(719) 354-9403
Taxonomy
Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
Primary
20181808745
CO
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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