Individual
JESUS AMADEO VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1000 BLYTHE BLVD, ANNEX BLDG 2ND FLOOR, CHARLOTTE, NC 28203-5812
(704) 355-2165
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12998
NC
125Q00000X
Oral Medicine Dentistry
12998
NC
Other
Enumeration date
03/30/2015
Last updated
12/03/2025
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