Provider Demographics
NPI:1467591677
Name:VALES, ORLANDO (DDS)
Entity Type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:
Last Name:VALES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2707 E VALLEY BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91792-3140
Mailing Address - Country:US
Mailing Address - Phone:626-581-8884
Mailing Address - Fax:626-964-4846
Practice Address - Street 1:2707 E VALLEY BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91792-3140
Practice Address - Country:US
Practice Address - Phone:626-581-8884
Practice Address - Fax:626-964-4846
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA461471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice