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Organization

VALLEJO DENTAL PLLC

Active
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Organization

VALLEJO DENTAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LONI VALLEJO DDS (OWNER)
(928) 277-0142
Entity
Organization

Contact information

Practice address
12075 E STATE ROUTE 69 STE 9, DEWEY, AZ 86327-4517
(928) 277-0142
(928) 277-0151
Mailing address
12075 E STATE ROUTE 69 STE 9, DEWEY, AZ 86327-4517
(928) 277-0142
(928) 277-0151

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7078
AZ

Other

Enumeration date
04/05/2016
Last updated
04/05/2016
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