Individual
DR. JAIME A VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1536 EISENHOWER PKWY, MACON, GA 31206-3130
(478) 781-4333
Mailing address
2575 GLADES CIR STE 2, WESTON, FL 33327-2254
(954) 384-9908
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN122562
GA
1223G0001X
General Practice Dentistry
DN24446
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN122562
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN24446
FL
Other
Enumeration date
07/30/2019
Last updated
11/10/2023
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