Individual
ANGELICA R VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AEF, RDA
Contact information
Practice address
4149 TWEEDY BLVD STE J, SOUTH GATE, CA 90280-6167
(323) 567-3333
Mailing address
14720 FLOMAR DR, WHITTIER, CA 90603-1929
(562) 696-9516
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
1077
CA
126800000X
Dental Assistant
57870
CA
Other
Enumeration date
08/09/2015
Last updated
08/09/2015
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