Individual
MARIACAMILA VALDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4141
Mailing address
8108 SKYECROFT COMMONS DR, WAXHAW, NC 28173-7459
(980) 313-0690
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
064099
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2023
Last updated
12/13/2024
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