| Jeff Velasquez, Dds, Inc. | |
|
541 W Willow St Long Beach CA 90806-2830 | |
| (562) 424-9473 | |
| (562) 989-1006 |
| Full Name | Jeff Velasquez, Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 541 W Willow St, Long Beach, California |
| Authorized Official Name and Position | Jeff Velasquez (OWNER) |
| Authorized Official Contact | 5624249473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff Velasquez, Dds, Inc. 541 W Willow St Long Beach CA 90806-2830 Ph: () - | Jeff Velasquez, Dds, Inc. 541 W Willow St Long Beach CA 90806-2830 Ph: (562) 424-9473 |
| NPI Number | 1235521170 |
|---|---|
| Provider Enumeration Date | 03/02/2015 |
| Last Update Date | 03/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235521170 | NPI | - | NPPES |
| 1073731063 | Other | CA | NPPES.COMS.HHS.GOV. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50691 (California) | Primary |
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