Individual
ANDREA AMANDA VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BSDH
Contact information
Practice address
1311 WAKE FOREST AVE, WALNUT, CA 91789-1224
(909) 706-1001
Mailing address
1311 WAKE FOREST AVE, WALNUT, CA 91789-1224
(909) 706-1001
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
28848
CA
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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