| Zeneida G Vasquez Dds Pc | |
|
1224 Sw 104th St Suite B Oklahoma City OK 73139-3020 | |
| (405) 703-1000 | |
| (405) 703-2277 |
| Full Name | Zeneida G Vasquez Dds Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1224 Sw 104th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Zeneida G. Vasquez (OWNER) |
| Authorized Official Contact | 4057031000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zeneida G Vasquez Dds Pc Po Box 248874 Oklahoma City OK 73124-8874 Ph: (405) 848-7974 | Zeneida G Vasquez Dds Pc 1224 Sw 104th St Suite B Oklahoma City OK 73139-3020 Ph: (405) 703-1000 |
| NPI Number | 1497894604 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 10/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497894604 | NPI | - | NPPES |
| 200046520A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 126 (Oklahoma) | Primary |
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