Individual
RICARDO T VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2475 LAKELAND DR, SUITE G, FLOWOOD, MS 39232-9505
(601) 932-3393
Mailing address
2475 LAKELAND DR, SUITE G, FLOWOOD, MS 39232-9505
(601) 932-3393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1735-76
MS
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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