Individual
VALENTIN CUARTO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
27620 75TH ST, SUITE 3, SALEM, WI 53168-9530
(262) 843-1808
(262) 843-1908
Mailing address
1519 S CANDLESTICK WAY, WAUKEGAN, IL 60085-8648
(847) 360-0599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5220
WI
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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