Juan C Valdes Sr. SR. DMD

NPI 1023005451 - Dentist - 122300000X

NPI Details
NPI 1023005451
Gender Male
Enumeration Date 09/30/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4912 BERGENLINE AVE
SUITE 10
WEST NEW YORK NJ, 07093-5596, US
Phone (201) 865-3498
Fax (201) 348-0090
Business Location
4912 BERGENLINE AVE
SUITE 10
WEST NEW YORK NJ, 07093-5596, US
Phone (201) 865-3498
Fax (201) 348-0090
Toxanomy
Taxonomy Code 122300000X
License State New Jersey
License Number D1008500
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According to our database, Dr. Juan C Valdes Sr. SR. DMD NPI is 1023005451, taxonomy code is 122300000X and license number is D1008500, license state is located at New Jersey. Juan C Valdes Sr. SR. DMD physically located at 4912 Bergenline Ave, West New York NJ, 07093-5596. NPI Number Juan C Valdes Sr. SR. DMD has the Individual type.

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1023005451 NPI number is provided on an as is basis without warranty of any kind. 1023005451 is maintained by the National Plan & Provider Enumeration System. The contents of Juan C Valdes Sr. SR. DMD are for informational purposes only.