Organization
VALDERS DENTAL ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA GUEVARA DDS (OWNER)
(920) 775-4531
Entity
Organization
Contact information
Practice address
519 CHRISTEL DR, VALDERS, WI 54245
(920) 775-4531
(920) 775-4180
Mailing address
519 CHRISTEL DR, VALDERS, WI 54245
(920) 775-4531
(920) 775-4180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3128015
WI
1223G0001X
General Practice Dentistry
Primary
4825015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33742000
BADGER CARE
WI
Enumeration date
08/21/2006
Last updated
08/22/2020
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