Individual
DR. MANUEL ANTONIO VALERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
210 N COLUMBIA AVE, OGLESBY, IL 61348-1480
(815) 883-3162
(815) 883-7062
Mailing address
216 OAKWOOD AVE., OGLESBY, IL 61348
(815) 883-8147
(815) 883-7062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026530
IL
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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