Organization
NATALIA VALDERRAMA, DDS, PA
Active
Organization
NATALIA VALDERRAMA, DDS, PA
Active
Other names
Valderrama Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALIA VALDERRAMA DOUGHERTY DDS, MS (PRESIDENT/OWNER)
(904) 434-7783
Entity
Organization
Contact information
Practice address
903 JORDAN BLASS DR STE 102, MELBOURNE, FL 32940-1325
(321) 544-4127
Mailing address
976 WILDWOOD DR, MELBOURNE, FL 32940-1506
(904) 434-7783
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN19651
FL
261QD0000X
Dental Clinic/Center
DN19651
FL
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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