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Individual

ZULEMA VALDIVIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
8501 SW 124TH AVE STE 106, MIAMI, FL 33183-4631
(305) 603-8086
Mailing address
7280 SW 163RD AVE, MIAMI, FL 33193-5150
(305) 766-1238

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10033
SC
1223P0300X
Periodontics
10091
SC
1223P0300X
Periodontics
DN015997
GA
1223P0300X
Periodontics
Primary
DN21769
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60355
MEDICAL
CA
Enumeration date
06/08/2011
Last updated
08/16/2023
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