Individual
DR. MERCEDES RAQUEL DEL VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
388 HIGH ST, EUGENE, OR 97401-2310
(541) 341-1404
(541) 342-7602
Mailing address
388 HIGH ST, EUGENE, OR 97401-2310
(541) 341-1404
(541) 342-7602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7030
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000698861
UNITED CONCORDIA
—
01
—
004722000
BLUE CROSS BLUE SHIELD
—
05
—
083001
—
OR
01
—
7030
DELTA DENTAL
OR
Enumeration date
09/22/2006
Last updated
01/17/2015
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