Individual
JOHN BERNARD VALESANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
930 RICHARD RD, DYER, IN 46311-1936
(219) 322-3418
Mailing address
930 RICHARD RD, P O BOX 186, DYER, IN 46311-1936
(219) 322-3418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008156A
IN
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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