Individual
DR. RANDALL L VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MSD
Contact information
Practice address
3408 STATE STREET, ERIE, PA 16508
(814) 454-5256
(814) 454-5258
Mailing address
3408 STATE STREET, ERIE, PA 16508
(814) 454-5256
(814) 454-5258
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS017234
PA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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