| John B Valesano, Dds Llc | |
|
930 Richard Rd Dyer IN 46311-1936 | |
| (219) 322-3418 | |
| Not Available |
| Full Name | John B Valesano, Dds Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 930 Richard Rd, Dyer, Indiana |
| Authorized Official Name and Position | John B Valesano (SINGLE MEMBER OWNER) |
| Authorized Official Contact | 2193223418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John B Valesano, Dds Llc 930 Richard Rd Dyer IN 46311-1936 Ph: (219) 322-3418 | John B Valesano, Dds Llc 930 Richard Rd Dyer IN 46311-1936 Ph: (219) 322-3418 |
| NPI Number | 1043513823 |
|---|---|
| Provider Enumeration Date | 12/16/2010 |
| Last Update Date | 12/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043513823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12008156A (Indiana) | Primary |
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