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Individual

LEAH I VALTR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
200 EAST STATE HIGHWAY 114, ROANOKE, TX 76262
(817) 567-8040
Mailing address
225 BENTON DR, ROANOKE, TX 76262-5083
(817) 491-7315

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
1074
AR
124Q00000X
Dental Hygienist
Primary
13403
TX

Other

Enumeration date
03/30/2007
Last updated
07/08/2007
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