| NPI | 1699174623 |
|---|---|
| Former Name | VALENTINA DEL VALLE MATA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: FL 20502) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: FL 20502) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2019-09-16 |