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Individual

LONI A VALLEJO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2179 W 24TH ST, YUMA, AZ 85364-6240
(928) 782-4707
(928) 782-2212
Mailing address
12075 E STATE ROUTE 69, STE A, 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
01/17/2007
Last updated
05/23/2016
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