Individual
ERIC MANUEL VALDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
536 62ND ST, WEST NEW YORK, NJ 07093-2553
(201) 854-2100
Mailing address
536 62ND ST, WEST NEW YORK, NJ 07093-2553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02846000
NJ
Other
Enumeration date
06/25/2021
Last updated
07/27/2021
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