Individual
DR. JORGE ELLER VALDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10590 ENDURING FREEDOM DRIVE, US ARMY DENTAL HQS FT DRUM, FORT DRUM, NY 13602-5005
(315) 772-6234
(315) 772-2393
Mailing address
10590 ENDURING FREEDOM DRIVE, US ARMY DENTAL HQS FT DRUM, FORT DRUM, NY 13602-5005
(315) 772-6234
(315) 772-2393
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI02423000
NJ
Other
Enumeration date
09/09/2009
Last updated
07/20/2012
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