| Organization Name: | JV DENTAL SERVICES |
| NPI Number: | 1750528410 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES VASQUEZ (MANAGER) |
| Mailing Address: | Ave. Francisco I. Madero #60 Naco |
| State: | SONORA MX |
| Postal Code: | 84180 |
| Phone Number: | 9157273118 |
| Fax Number: | |
| NPI Enumeration Date: | 01/15/2009 |
| NPI Last Update Date: | 01/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 4991427 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ZZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |