Individual
DR. HARVEY RANDOLPH VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
508 N MARYLAND AVE, PLANT CITY, FL 33563-3820
(813) 349-7600
(813) 349-7661
Mailing address
13110 ELK MOUNTAIN DR, RIVERVIEW, FL 33579-7182
(813) 349-7568
(813) 349-7561
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 10403
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003568300
—
FL
Enumeration date
12/22/2006
Last updated
01/17/2012
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