Individual
DR. EUDORO VALLEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
75 ESSEX ST, SUITE 110, HACKENSACK, NJ 07601-4036
(201) 457-9595
(201) 457-9505
Mailing address
75 ESSEX ST, SUITE 110, HACKENSACK, NJ 07601-4036
(201) 457-9595
(201) 457-9505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI19090
NJ
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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