Individual
DR. GEORGE MICHAEL VALLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
211 GEORGIA ST, LOUISIANA, MO 63353
(573) 754-4030
Mailing address
211 GEORGIA ST, LOUISIANA, MO 63353
(573) 754-4030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013365
MO
1223G0001X
General Practice Dentistry
017848
IL
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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