Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant | DA2819 | OK |
NPI | 1023487485 |
---|---|
Provider Name | Yvette Saldana Vasquez |
First Address | Oklahoma City, OK 73127-6339 |
Second Address | Oklahoma City, OK 73127-6339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2015 |
Last Update Date | 16/09/2015 |