Provider Demographics
NPI:1861675142
Name:VALDERRAMA, MARIA DEL PILAR (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:DEL PILAR
Last Name:VALDERRAMA
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5502 MERRIMAC AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5832
Mailing Address - Country:US
Mailing Address - Phone:210-683-7346
Mailing Address - Fax:214-370-8718
Practice Address - Street 1:5465 BLAIR RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4100
Practice Address - Country:US
Practice Address - Phone:512-528-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX258761223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics