C.LEON VASQUEZ DENTAL SERVICE PC NPI 1962674697

NPI Information

C.LEON VASQUEZ DENTAL SERVICE PC is a general practice dentist in Woodside, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. C.LEON VASQUEZ DENTAL SERVICE PC NPI is 1962674697. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

40-27 69TH ST
WOODSIDE, NY
ZIP 11377-836
Phone: (718) 507-9731
Fax: (718) 507-2700

The provider's authorized official is Leon A Vasquez .
The authorized official title is President and has the following contact phone number (718) 507-9731.

The enumeration date for this NPI number is 4/2/2008 and was last updated on 4/2/2008.

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:

Other Identifiers

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