Whalio Doctors

NPI 1619157740

Carla Sue Vasquez, RDH

Practitioner Dental Hygienist Park Hills, MO

Practice location

Address
1025 W Main St PO Box Q, Park Hills, MO 63601-2079
Phone
(573) 431-1947
Fax
(573) 431-7326
Mailing address
PO Box Q 1025 West Main Street, Park Hills, MO 63601-0397

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 002643 (MO)

Registry record

NPI
1619157740
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Nov 2007
Record last updated
6 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.