Individual
GERSON SANCHEZ VALLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
414 W SOLEDAD AVE STE 300, HAGATNA, GU 96910-5073
(671) 472-2489
(671) 477-9275
Mailing address
414 W SOLEDAD AVE STE 300, HAGATNA, GU 96910-5073
(671) 472-2489
(671) 477-9275
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
26241
CA
122300000X
Dentist
Primary
D-569
GU
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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