# PATRICIA B. VALDIVIA D.D.S.,P.C.

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

## Provider details

- **NPI number:** 1386817765
- **Authorized official:** DR. PATRICIA B VALDIVIA D.D.S. (OWNER)
- **Authorized official phone:** (505) 876-4034

## Contact information

- **Practice address:** 1209 BONITA ST, GRANTS, NM 87020-2103
- **Practice address phone:** (505) 876-4034
- **Practice address fax:** (505) 876-4036
- **Mailing address:** 1209 BONITA ST, GRANTS, NM 87020-2103
- **Mailing address phone:** (505) 876-4034
- **Mailing address fax:** (505) 876-4036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1637 | NM | Yes |

## Other

- **Enumeration date:** 04/08/2008
- **Last updated:** 04/08/2008