Organization
PATRICIA B. VALDIVIA D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA B VALDIVIA D.D.S. (OWNER)
(505) 876-4034
Entity
Organization
Contact information
Practice address
1209 BONITA ST, GRANTS, NM 87020-2103
(505) 876-4034
(505) 876-4036
Mailing address
1209 BONITA ST, GRANTS, NM 87020-2103
(505) 876-4034
(505) 876-4036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1637
NM
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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