| Valdas Childrens Dental | |
|
107 W Green St Gallup NM 87301-6241 | |
| (505) 870-6128 | |
| Not Available |
| Full Name | Valdas Childrens Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 107 W Green St, Gallup, New Mexico |
| Authorized Official Name and Position | Eduardo Valda (OWNER) |
| Authorized Official Contact | 5058706128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valdas Childrens Dental 1401 Linda Dr Gallup NM 87301-5615 Ph: (505) 870-6128 | Valdas Childrens Dental 107 W Green St Gallup NM 87301-6241 Ph: (505) 870-6128 |
| NPI Number | 1134332596 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134332596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DD2159 (New Mexico) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | DD2150 (New Mexico) | Primary |
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