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NPI Code Detail

MEDICARE: VANESA PAOLA VAQUER DMD

MEDICARE: VANESA PAOLA VAQUER DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry35719TX
21223G0001XGeneral Practice DentistryDN22701FL

General Provider Information

NPI Number : 1619497062
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESA PAOLA VAQUER DMD
Provider Business Mailing Address
First Line : 4009 BANISTER LN STE 370
Second Line :
City : AUSTIN
State : TX
Zip : 78704-7040
Country : US
Telephone Number : 512-215-4350
Fax Number : 512-647-6367
Provider Business Practice Location Address
First Line : 5920 W WILLIAM CANNON DR STE 6-210
Second Line :
City : AUSTIN
State : TX
Zip : 78749-2008
Country : US
Telephone Number : 512-215-4350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2017
Last Update Date : 04/07/2026

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Directions to “ VANESA PAOLA VAQUER DMD” Practice Location

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