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Organization

LUZ-ELENA VALENCIA, DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUZ-ELENA VALENCIA DDS (DENTIST)
(317) 865-1010
Entity
Organization

Contact information

Practice address
625 N MADISON AVE, GREENWOOD, IN 46142-4086
(317) 865-1010
(317) 865-7070
Mailing address
625 N MADISON AVE, GREENWOOD, IN 46142-4086
(317) 865-1010
(317) 865-7070

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009588
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
774841
UNITED CONCORDIA PROVIDER
Enumeration date
06/19/2007
Last updated
08/22/2020
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