Provider Demographics
NPI:1558891671
Name:LOMELI, VALERIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:VALERIA
Middle Name:
Last Name:LOMELI
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 1:4900 MEDICAL DR APT 309
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4325
Mailing Address - Country:US
Mailing Address - Phone:956-337-7622
Mailing Address - Fax:
Practice Address - Street 1:4900 MEDICAL DR APT 309
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4325
Practice Address - Country:US
Practice Address - Phone:956-628-9699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-13
Last Update Date:2017-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX331021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice