FERNANDO VELASQUEZ

ROSEBURG, OR
NPI1972925311
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  61693)
Additional Taxonomies122300000X Dentist
(Licence: MA  DN1856067)
Enumeration Date2014-01-18
Last Update Date2015-02-09
Business Address
Dr. FERNANDO VELASQUEZ DMD
913 NW GARDEN VALLEY BLVD DENTAL CLINIC
ROSEBURG, OR 97471-6523
Phone number: 541-440-1242
Mailing Address
Dr. FERNANDO VELASQUEZ DMD
913 NW GARDEN VALLEY BLVD DENTAL CLINIC
ROSEBURG, OR 97471-6523
Phone number: 541-440-1242
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