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Individual

RUBEN VALENCIA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
5045 W BASELINE RD STE 135, LAVEEN, AZ 85339-7394
(602) 237-0613
Mailing address
5901 W BEHREND DR APT 1028, GLENDALE, AZ 85308-6935
(619) 961-9184

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010367
AZ

Other

Enumeration date
07/01/2019
Last updated
07/01/2019
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