Provider Demographics
NPI:1023226560
Name:DANIEL A. VASQUEZ, D.D.S.,P.C.
Entity type:Organization
Organization Name:DANIEL A. VASQUEZ, D.D.S.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ABAD
Authorized Official - Last Name:VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,PC
Authorized Official - Phone:603-437-8204
Mailing Address - Street 1:182 ROCKINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-2165
Mailing Address - Country:US
Mailing Address - Phone:603-437-8204
Mailing Address - Fax:603-623-6564
Practice Address - Street 1:182 ROCKINGHAM ROAD
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-2165
Practice Address - Country:US
Practice Address - Phone:603-437-8204
Practice Address - Fax:603-623-6564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH30481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty