DR. Jorge L Delvalle, D.M.D

NPI #1205116175 in West New York, New Jersey

Provider Information

NPI Number: 1205116175
Entity Type: Individual
Name: DR. Jorge L Delvalle, D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D
Enumeration Date: Aug 24, 2011
Last Updated: Aug 24, 2011

Practice Location

Address: 25 AVE AT PORT IMPERIAL
Address 2: APT. 621
City: West New York
State: New Jersey
ZIP Code: 07093-8350
Phone: (201) 803-6647

Specialties & Taxonomy Codes

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

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