Provider Demographics
NPI:1518114271
Name:VALDEZ-GONZALEZ, DALILA (DDS)
Entity Type:Individual
Prefix:MISS
First Name:DALILA
Middle Name:
Last Name:VALDEZ-GONZALEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 S 55TH CT
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:IL
Mailing Address - Zip Code:60804-2211
Mailing Address - Country:US
Mailing Address - Phone:708-574-5286
Mailing Address - Fax:815-626-6339
Practice Address - Street 1:12601 WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5707
Practice Address - Country:US
Practice Address - Phone:281-820-3400
Practice Address - Fax:281-920-9343
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX263631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice