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VASQUEZ DENTAL CORPORATION NPI 1114297785


NPI Information

NPI: 1114297785
Provider Name: VASQUEZ DENTAL CORPORATION

Doing Business As: TRI-CITY CHILDREN'S DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
2420 VISTA WAY STE 210
OCEANSIDE, CA
ZIP 92054
Phone: (760) 724-1102
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VASQUEZ DENTAL CORPORATION is a pediatric dentistry dentist in Oceanside, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. VASQUEZ DENTAL CORPORATION NPI is 1114297785. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tri-city Children's Dentistry.

The provider's business location address is:

2420 VISTA WAY STE 210
OCEANSIDE, CA
ZIP 92054
Phone: (760) 724-1102
Fax: (760) 724-1471

The provider's authorized official is Jose Angelo Ragon Vasquez .
The authorized official title is President/pediatric Dentist and has the following contact phone number (760) 724-1102.

The enumeration date for this NPI number is 1/12/2012 and was last updated on 12/21/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry54036CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11770613598OTHERCALIFORNIANPI TYPE I
2D54036MEDICAIDCALIFORNIA

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: 11/14/2023

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