Vallejo Dental Pllc

NPI #1033572128 in Dewey, Arizona

Provider Information

NPI Number: 1033572128
Entity Type: Organization
Organization Name: Vallejo Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 5, 2016
Last Updated: Apr 5, 2016

Practice Location

Address: 12075 E STATE ROUTE 69 STE 9
City: Dewey
State: Arizona
ZIP Code: 86327-4517
Phone: (928) 277-0142

Authorized Official

Name: LONI VALLEJO, DDS
Title: OWNER
Phone: (928) 277-0142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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