NPI | 1649783796 |
---|---|
Doing Business As | FLAVIO A. VALDEZ DDS |
Entity Type | Organization |
Authorized Contact | FLAVIO A. VALDEZ Dentist 619-488-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: ZZ 6152580) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: ZZ 7419393) |
Enumeration Date | 2017-11-13 |
Last Update Date | 2017-11-13 |