Provider Demographics
NPI:1801026919
Name:FLORES, JEFFREY VALDEZ (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:VALDEZ
Last Name:FLORES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28261 MARGUERITE PARKWAY
Mailing Address - Street 2:SUITE #150
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691
Mailing Address - Country:US
Mailing Address - Phone:858-733-2279
Mailing Address - Fax:
Practice Address - Street 1:28261 MARGUERITE PKWY STE 150
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-3702
Practice Address - Country:US
Practice Address - Phone:949-682-7378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA585121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice