Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 56153 | CA |
NPI | 1003000175 |
---|---|
Provider Name | Dr. Belinda Reyes-Vasquez |
First Address | Whittier, CA 90601-1763 |
Second Address | La Puente, CA 91744-4648 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2007 |
Last Update Date | 23/01/2020 |