Valdas Childrens Dental
NPI #1134332596 in Gallup, New Mexico
Provider Information
- NPI Number
- 1134332596
- Entity Type
- Organization
- Organization Name
- Valdas Childrens Dental
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- May 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 107 W GREEN ST
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-6241
- Phone
- (505) 870-6128
Authorized Official
- Name
- EDUARDO VALDA
- Title
- OWNER
- Phone
- (505) 870-6128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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| DR. Jeffrey Wade Humberson, D.D.S. | |
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