Provider Demographics
NPI:1609027796
Name:JOSEPH VALLE DDS INC.
Entity Type:Organization
Organization Name:JOSEPH VALLE DDS INC.
Other - Org Name:SANTA CURZ DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:SALVADOR
Authorized Official - Last Name:VALLE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:831-423-2400
Mailing Address - Street 1:550 WATER ST
Mailing Address - Street 2:SUITE K-1
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-4124
Mailing Address - Country:US
Mailing Address - Phone:831-423-2400
Mailing Address - Fax:831-423-6871
Practice Address - Street 1:550 WATER ST
Practice Address - Street 2:SUITE K-1
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-4124
Practice Address - Country:US
Practice Address - Phone:831-423-2400
Practice Address - Fax:831-423-6871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52950261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental