Luis Valdivia Dds, Pllc | |
4001 Denny Ave Ste 1 Pascagoula MS 39581-5403 | |
(228) 471-3970 | |
Not Available |
Full Name | Luis Valdivia Dds, Pllc |
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Speciality | Dentist - General Practice |
Location | 4001 Denny Ave Ste 1, Pascagoula, Mississippi |
Authorized Official Name and Position | Valerie Hamilton (DIRECTOR, PAYOR STRATEGY) |
Authorized Official Contact | 3154105531 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Luis Valdivia Dds, Pllc Po Box 70887 Cleveland OH 44190-0887 Ph: (315) 410-5531 | Luis Valdivia Dds, Pllc 4001 Denny Ave Ste 1 Pascagoula MS 39581-5403 Ph: (228) 471-3970 |
NPI Number | 1427888510 |
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Provider Enumeration Date | 08/05/2024 |
Last Update Date | 08/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427888510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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