Dr. Luis Alfredo Velazquez, DDS
Dentist in San Bernardino, CA. Individual provider (NPI-1).
NPI number1265972756
StatusActive
Last updated in NPPESMar 2, 2017
Details
- NPI
- 1265972756
- Entity type
- Individual (NPI-1)
- Name
- Dr. Luis Alfredo Velazquez
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 2, 2017
- Last updated
- Mar 2, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 101056 | CA | Yes |
Practice location
189 N E StSan Bernardino, CA 92401-1901
Phone 909-383-8328 · Fax 909-383-8332
Mailing address
6146 Medinah StFontana, CA 92336-5678
Phone 951-446-9318
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