Roger Paul Valliere D.D.S.

NPI 1013116706 - Dentist - 122300000X

NPI Details
NPI 1013116706
Gender Male
Enumeration Date 07/13/2007
Last Updated 07/13/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1330 E STATE BLVD
FORT WAYNE IN, 46805-4422, US
Phone (260) 484-5614
Fax
Business Location
1330 E STATE BLVD
FORT WAYNE IN, 46805-4422, US
Phone (260) 484-5614
Fax
Toxanomy
Taxonomy Code 122300000X
License State Indiana
License Number 12010249A
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According to our database, Dr. Roger Paul Valliere D.D.S. NPI is 1013116706, taxonomy code is 122300000X and license number is 12010249A, license state is located at Indiana. Roger Paul Valliere D.D.S. physically located at 1330 E State Blvd, Fort Wayne IN, 46805-4422. NPI Number Roger Paul Valliere D.D.S. has the Individual type.

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1013116706 NPI number is provided on an as is basis without warranty of any kind. 1013116706 is maintained by the National Plan & Provider Enumeration System. The contents of Roger Paul Valliere D.D.S. are for informational purposes only.