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Dr. Jerson M. Vasquez, D.D.S.

Dentist in Upland, CA. Individual provider (NPI-1).

NPI number1609904366
StatusActive
Last updated in NPPESAug 2, 2013

Details

NPI
1609904366
Entity type
Individual (NPI-1)
Name
Dr. Jerson M. Vasquez
Credential
D.D.S.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 2, 2007
Last updated
Aug 2, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist45535CAYes

Practice location

270 E. 7th Street
Suite 2b
Upland, CA 91786

Phone 909-985-1211 · Fax 909-982-8482

Mailing address

16423 Los Coyotes St
Fontana, CA 92336-5811

Phone 951-237-0688

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