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NPI Code Detail

MEDICARE: VANESSA ZULAY VALENZUELA HYGIENIST

MEDICARE:   VANESSA ZULAY VALENZUELA  HYGIENIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental HygienistDH25205FL

General Provider Information

NPI Number : 1487257457
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA ZULAY VALENZUELA HYGIENIST
Provider Business Mailing Address
First Line : 2378 WHITE LILLY DR
Second Line :
City : KISSIMMEE
State : FL
Zip : 34747-1746
Country : US
Telephone Number : 954-668-0601
Fax Number :
Provider Business Practice Location Address
First Line : 2907 VINELAND RD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-5505
Country : US
Telephone Number : 407-397-1032
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2020
Last Update Date : 11/20/2020

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Directions to “ VANESSA ZULAY VALENZUELA HYGIENIST” Practice Location

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