Individual
ELIZ I VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6940 MESA RIDGE PKWY, FOUNTAIN, CO 80817
(719) 382-4936
Mailing address
489 S HOOK CT, PUEBLO, CO 81007-6025
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH002023432
CO
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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