Maria a Vazquez DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44273 Issued in CA

Legal business name

MARIA A VAZQUEZ DDS INC

Practice address

45 975 Fargo St
Suite 1
Indio, CA 92201

Phone

(760) 775-3368

Fax

(760) 775-5090

NPI assigned

Dec 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Maria A Vazquez, DDS

Title

President Owner

Phone

(760) 775-3368

Specialties & licenses 1

Addresses

Other names 1

• Dental Del Valle Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609936384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 975 FARGO ST",
            "address_2": "SUITE 1",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 975 FARGO ST",
            "address_2": "SUITE 1",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-775-3368",
            "fax_number": "760-775-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA A VAZQUEZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "760-775-3368",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Del Valle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Marak
• Nydia Ellena Maravilla, RADT
• Marie Marcinko, RN
• Ronald Marcus
• John Mardones, M.D.
• Maria Remedios R. Gopez, MD., Inc.
• Guadalupe Macias Mariscal, PEER SUPPORT SPECIAL
• Mark a Gillispie O D Inc
• Amin Abed Nagiub Markos, ARDMS
• Adrine Markosyan, MD

• General Practice Dentistry in Indio, CA
• Providers in Indio, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.