Individual
DR. EDGARDO LUIS VALLES NEVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
SUITE 5 MARIA DEL CARMEN PLAZA, COROZAL, PR 00783
(787) 859-7575
(787) 859-6565
Mailing address
1057 CALLE 8, SAN JUAN, PR 00927-5221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2580
PR
Other
Enumeration date
03/22/2007
Last updated
07/09/2007
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