Individual
JORGE JAVIER VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
1640 N MAITLAND AVE # 1000, MAITLAND, FL 32751-3320
(407) 900-3366
Mailing address
1640 N MAITLAND AVE # 1000, MAITLAND, FL 32751-3320
(407) 900-3366
(321) 800-9394
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
ME137974
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN20336
FL
Other
Enumeration date
06/12/2013
Last updated
02/20/2026
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