NPI 1841010071

Luis Vazquez

Practitioner Dental Laboratory Technician Colorado Springs, CO

Practice location

Address: 2034 Devon St, Colorado Springs, CO 80909-1618
Phone: (719) 354-9403

Registered specialties

Dental Laboratory Technician Primary

Dental Providers Taxonomy 126900000X Licence 20181808745 (CO)

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Registry record

NPI: 1841010071
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Oct 2024
Record last updated: 14 Oct 2024

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.