Provider Demographics
NPI:1053771303
Name:LABOY VAZQUEZ, WILFREDO (DMD)
Entity type:Individual
Prefix:DR
First Name:WILFREDO
Middle Name:
Last Name:LABOY VAZQUEZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10185 WESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-4401
Mailing Address - Country:US
Mailing Address - Phone:281-245-0711
Mailing Address - Fax:
Practice Address - Street 1:10185 WESTVIEW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-4401
Practice Address - Country:US
Practice Address - Phone:281-245-0711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-29
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32260122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist