Provider Demographics
NPI:1073912317
Name:VALLE CINTRON, OSCAR (DMD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:
Last Name:VALLE CINTRON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 P ST NW APT 311
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-1959
Mailing Address - Country:US
Mailing Address - Phone:787-307-4665
Mailing Address - Fax:
Practice Address - Street 1:1425 P ST NW APT 311
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-1959
Practice Address - Country:US
Practice Address - Phone:787-307-4665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401414594122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist