Healthcare Provider Details

I. General information

NPI: 1902739246
Provider Name (Legal Business Name): DIEGO ARMANDO SANCHEZ VAZQUEZ DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6099 N 1ST ST
FRESNO CA
93710-5462
US

IV. Provider business mailing address

6099 N 1ST ST
FRESNO CA
93710-5462
US

V. Phone/Fax

Practice location:
  • Phone: 559-728-2222
  • Fax: 559-878-4340
Mailing address:
  • Phone: 559-728-2222
  • Fax: 559-878-4340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number113045
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: