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Organization
VALDEZ FAMILY DENTISTRY
Active
Organization
VALDEZ FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN MONIQUE VALDEZ D.M.D (DENTIST)
(909) 591-9211
Entity
Organization
Contact information
Practice address
4129 RIVERSIDE DR, CHINO, CA 91710
(909) 591-9211
(909) 613-0601
Mailing address
4129 RIVERSIDE DR., CHINO, CA 91710
(909) 591-9211
(909) 613-0601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61102
CA
122300000X
Dentist
61143
CA
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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