Individual
DR. DOUGLAS RONALD VALLININO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
301 E CONESTOGA RD, WAYNE, PA 19087-2508
(610) 688-7718
(610) 688-7043
Mailing address
301 E CONESTOGA RD, WAYNE, PA 19087-2508
(610) 688-7718
(610) 688-7043
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS027825-L
PA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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