Organization
JOHN B VALESANO, DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN B VALESANO DDS LLC (SINGLE MEMBER OWNER)
(219) 322-3418
Entity
Organization
Contact information
Practice address
930 RICHARD RD, DYER, IN 46311-1936
(219) 322-3418
Mailing address
930 RICHARD RD, DYER, IN 46311-1936
(219) 322-3418
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12008156A
IN
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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