Vasquez, Eduardo

Vasquez, Eduardo is an sole proprietor health care provider with primary practice located at 501 S Idaho St Suite 120, La Habra CA 90631-6047. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Vasquez, Eduardo can be contacted via phone (562) 690-0400.

Contact Information

Primary practice address
501 S Idaho St Suite 120 La Habra CA 90631-6047
Phone: (562) 690-0400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 49825 California
Dental Providers / General Practice 1223G0001X 49825 California
Dental Providers / Dentist 122300000X 49825 California

Profile Details

NPI number 1366584146
LBN Legal business name Vasquez, Eduardo
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2007
Last updated Jun 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366584146 NPPES
California MEDICAID 1366584146

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