Individual
DR. RAYMOND STEPHEN DELVALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7700 MENAUL BLVD NE, ALBUQUERQUE, NM 87110-4616
(505) 296-5521
(505) 296-5522
Mailing address
7405 TERRY CT NE, ALBUQUERQUE, NM 87110-2720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1553
NM
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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