Provider Demographics
NPI:1295956605
Name:MAGPAYO, HECTOR MARQUEZ (DDS)
Entity type:Individual
Prefix:
First Name:HECTOR
Middle Name:MARQUEZ
Last Name:MAGPAYO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 E MOUNTAIN VIEW ST
Mailing Address - Street 2:
Mailing Address - City:BARSTOW
Mailing Address - State:CA
Mailing Address - Zip Code:92311-2858
Mailing Address - Country:US
Mailing Address - Phone:760-256-2896
Mailing Address - Fax:760-256-2669
Practice Address - Street 1:113 E MOUNTAIN VIEW ST
Practice Address - Street 2:
Practice Address - City:BARSTOW
Practice Address - State:CA
Practice Address - Zip Code:92311-2858
Practice Address - Country:US
Practice Address - Phone:760-256-2896
Practice Address - Fax:760-256-2669
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA341531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice