# LUZ-ELENA VALENCIA, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154526101
- **Authorized official:** DR. LUZ-ELENA VALENCIA DDS (DENTIST)
- **Authorized official phone:** (317) 865-1010

## Contact information

- **Practice address:** 625 N MADISON AVE, GREENWOOD, IN 46142-4086
- **Practice address phone:** (317) 865-1010
- **Practice address fax:** (317) 865-7070
- **Mailing address:** 625 N MADISON AVE, GREENWOOD, IN 46142-4086
- **Mailing address phone:** (317) 865-1010
- **Mailing address fax:** (317) 865-7070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12009588 | IN | Yes |

## Other

- **Enumeration date:** 06/19/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 774841 | UNITED CONCORDIA PROVIDER | — |