Provider Demographics
NPI:1003000175
Name:REYES-VASQUEZ, BELINDA (DDS)
Entity Type:Individual
Prefix:DR
First Name:BELINDA
Middle Name:
Last Name:REYES-VASQUEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4727 SILVER TIP DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-1763
Mailing Address - Country:US
Mailing Address - Phone:626-378-5315
Mailing Address - Fax:
Practice Address - Street 1:322 N AZUSA AVE STE 202
Practice Address - Street 2:
Practice Address - City:LA PUENTE
Practice Address - State:CA
Practice Address - Zip Code:91744-4648
Practice Address - Country:US
Practice Address - Phone:626-581-0800
Practice Address - Fax:626-581-0591
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56153122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist