Individual
DR. AILEEN VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
36 ALYCE LN, VOORHEES, NJ 08043-4768
(609) 220-0078
Mailing address
36 ALYCE LN, VOORHEES, NJ 08043-4768
(609) 220-0078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02482200
NJ
1223G0001X
General Practice Dentistry
Primary
22DI02482200
NJ
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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