Individual
DR. JUAN MANUEL VALDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
536 62ND STREET, WEST NEW YORK, NJ 07093-1545
(201) 854-2100
(201) 854-8835
Mailing address
536 62ND STREET, WEST NEW YORK, NJ 07093-1545
(201) 854-2100
(201) 854-8835
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01564900
NJ
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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