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General NPI Number Information
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NPI Number | 1609027796
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Entity Type | Organization
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Legal Business Name | JOSEPH VALLE DDS INC.
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Dates
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Enumeration Date | 10/07/2008
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Last Update Date | 10/07/2008
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Provider Practice Location Address
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Address Line | 550 WATER ST SUITE K-1
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City | SANTA CRUZ
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State | CA
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Zip | 95060-4124
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Country | US
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Telephone | 831-423-2400
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Fax | 831-423-6871
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Provider Business Mailing Address
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Address Line | 550 WATER ST SUITE K-1
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City | SANTA CRUZ
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State | CA
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Zip | 95060-4124
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Country | US
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Telephone | 831-423-2400
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Fax | 831-423-6871
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. JOSEPH SALVADOR VALLE
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Credential | DDS
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Telephone | 831-423-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 52950
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License Number State | CA
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