Provider Demographics
NPI:1376399014
Name:VASQUEZ DENTAL HEALTH CENTER L.L.C.
Entity type:Organization
Organization Name:VASQUEZ DENTAL HEALTH CENTER L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-630-4755
Mailing Address - Street 1:4853 S JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9793
Mailing Address - Country:US
Mailing Address - Phone:956-630-4755
Mailing Address - Fax:956-630-4875
Practice Address - Street 1:4853 S JACKSON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9793
Practice Address - Country:US
Practice Address - Phone:956-630-4755
Practice Address - Fax:956-630-4875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental