Individual
DR. MARIO S VALDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7517 CAMERON RD, SUITE 106, AUSTIN, TX 78752-2057
(512) 278-1232
Mailing address
3050 TAMARRON BLVD, APT 2301, AUSTIN, TX 78746-8035
(512) 496-3732
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30387
TX
Other
Enumeration date
04/16/2015
Last updated
05/06/2015
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