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IVONNE VAZQUEZ DDS INC NPI 1548639768


NPI Information

NPI: 1548639768
Provider Name: IVONNE VAZQUEZ DDS INC

Doing Business As: OVERLAND DENTAL PRACTICE

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
41653 MARGARITA RD STE 107
TEMECULA, CA
ZIP 92591
Phone: (951) 695-8711
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IVONNE VAZQUEZ DDS INC is a dental clinic center in Temecula, CA. IVONNE VAZQUEZ DDS INC NPI is 1548639768. The provider is registered as an organization entity type.
The provider Is Doing Business As Overland Dental Practice.

The provider's business location address is:

41653 MARGARITA RD STE 107
TEMECULA, CA
ZIP 92591-000
Phone: (951) 695-8711

The provider's authorized official is Ivonne Vazquez .
The authorized official title is Dentist and has the following contact phone number (951) 695-8711.

The enumeration date for this NPI number is 9/17/2015 and was last updated on 9/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental50392CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1161-908-6733OTHERCALIFORNIANPI INDIVIDUAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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