Individual
MR. RANDY VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 S EUCLID AVE STE A, UPLAND, CA 91786-6665
(909) 946-8334
Mailing address
350 S EUCLID AVE STE A, UPLAND, CA 91786-6665
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22645
CA
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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