Individual
DR. EDUARDO J VALDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
107 W GREEN ST, GALLUP, NM 87301-6241
(505) 870-6128
Mailing address
1401 LINDA DR, GALLUP, NM 87301-5615
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2150
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A5636
—
NM
Enumeration date
12/16/2005
Last updated
07/08/2007
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