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Individual

DR. RODRIGO VALLAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
8615 RIDGELYS CHOICE DR, SUITE 209, NOTTINGHAM, MD 21236-3026
(410) 248-0025
Mailing address
8615 RIDGELYS CHOICE DR, SUITE 209, NOTTINGHAM, MD 21236-3026
(410) 248-0025

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13083
MD

Other

Enumeration date
03/22/2006
Last updated
11/03/2012
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