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NPI 1366427791

NPI 1366427791 : ESMAEL R VALDEZ DDS : SANTA FE, NM

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General NPI Number Information
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    NPI Number           |    1366427791
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    Entity Type          |    Individual 
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    Provider Name        |    ESMAEL R VALDEZ DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/08/2005
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    Last Update Date     |    01/12/2026
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Provider Practice Location Address
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    Address Line         |    550 SAINT MICHAELS DR STE 2 
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    City                 |    SANTA FE
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    State                |    NM
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    Zip                  |    87505-7604
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    Country              |    US
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    Telephone            |    505-471-7000
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    Fax                  |    505-387-9011
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Provider Business Mailing Address
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    Address Line         |    2500 7TH ST STE H 
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    City                 |    LAS VEGAS
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    State                |    NM
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    Zip                  |    87701-4947
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    Country              |    US
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    Telephone            |    505-454-8483
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DD2351
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    License Number State |    NM
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