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NPI Code Detail

MEDICARE: VALERIA DE LEON

MEDICARE: VALERIA DE LEON
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
11223G0001XGeneral Practice DentistryD.007513-C1AL

General Provider Information

NPI Number : 1720769110
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIA DE LEON
Provider Business Mailing Address
First Line : 2010 3RD AVE S APT 551C
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233-2190
Country : US
Telephone Number : 858-405-1705
Fax Number :
Provider Business Practice Location Address
First Line : 2757 GREEN SPRINGS HWY
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-4903
Country : US
Telephone Number : 858-405-1705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2023
Last Update Date : 06/24/2026

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Directions to “ VALERIA DE LEON ” Practice Location

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