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NPI Code Detail

MEDICARE: VALENCIA DENTAL CORPORATION

MEDICARE: VALENCIA DENTAL CORPORATION
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 Dentistry0070971CA

General Provider Information

NPI Number : 1952449712
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALENCIA DENTAL CORPORATION
Provider Business Mailing Address
First Line : 1978 SANTA FE AVENUE
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-4064
Country : US
Telephone Number : 562-436-5015
Fax Number : 562-983-6695
Provider Business Practice Location Address
First Line : 1978 SANTA FE AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-4064
Country : US
Telephone Number : 562-436-5015
Fax Number : 562-983-6695
Authorized Official
Title or Position : DENTIST OWNER
Name : MRS. SARA VALENCIA
Credential : DDS
Telephone Number : 562-436-5015
Provider Enumeration Date : 02/02/2007
Last Update Date : 08/22/2020

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Directions to “VALENCIA DENTAL CORPORATION ” Practice Location

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