Provider Demographics
NPI:1710947866
Name:VALENCIA, V. ALBERTO (DDS, PA)
Entity Type:Individual
Prefix:DR
First Name:V. ALBERTO
Middle Name:
Last Name:VALENCIA
Suffix:
Gender:M
Credentials:DDS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9885 N KENDALL DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1805
Mailing Address - Country:US
Mailing Address - Phone:305-271-4876
Mailing Address - Fax:305-273-8880
Practice Address - Street 1:9885 N KENDALL DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1805
Practice Address - Country:US
Practice Address - Phone:305-271-4876
Practice Address - Fax:305-273-8880
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 125671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice