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1811986557
IVAN A VAZQUEZ
HAUPPAUGE, NY
NPI
1811986557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: NY 043487)
Enumeration Date
2005-10-16
Last Update Date
2007-07-08
Business Address
Dr. IVAN A VAZQUEZ DDS
801 MOTOR PKWY
HAUPPAUGE, NY 11788-5256
Phone number: 631-348-1501
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Mailing Address
Dr. IVAN A VAZQUEZ DDS
801 MOTOR PKWY
HAUPPAUGE, NY 11788-5256
Phone number: 631-348-1501
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