Provider Demographics
NPI:1538331426
Name:VALDEZ, GENEVIEVE (RDH)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2465 S DOWNING ST
Mailing Address - Street 2:210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5822
Mailing Address - Country:US
Mailing Address - Phone:303-733-3710
Mailing Address - Fax:303-733-3760
Practice Address - Street 1:2465 S DOWNING ST
Practice Address - Street 2:210
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5822
Practice Address - Country:US
Practice Address - Phone:303-733-3710
Practice Address - Fax:303-733-3760
Is Sole Proprietor?:No
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO904075124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist