Valdas Childrens Dental | |
107 W Green St Gallup NM 87301-6241 | |
(505) 870-6128 | |
Not Available |
Full Name | Valdas Childrens Dental |
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Speciality | Dentist - Pediatric Dentistry |
Location | 107 W Green St, Gallup, New Mexico |
Authorized Official Name and Position | Eduardo Valda (OWNER) |
Authorized Official Contact | 5058706128 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Valdas Childrens Dental 1401 Linda Dr Gallup NM 87301-5615 Ph: (505) 870-6128 | Valdas Childrens Dental 107 W Green St Gallup NM 87301-6241 Ph: (505) 870-6128 |
NPI Number | 1134332596 |
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Provider Enumeration Date | 05/08/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134332596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | DD2150 (New Mexico) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | DD2159 (New Mexico) | Secondary |
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