Provider Demographics
NPI:1023148574
Name:VALDEZ, VICTOR PAUL CAYABYAB JR (DMD)
Entity type:Individual
Prefix:DR
First Name:VICTOR PAUL
Middle Name:CAYABYAB
Last Name:VALDEZ
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:181 EL CAMINO REAL
Mailing Address - Street 2:SUITE B
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3679
Mailing Address - Country:US
Mailing Address - Phone:714-669-9555
Mailing Address - Fax:714-669-9496
Practice Address - Street 1:181 EL CAMINO REAL
Practice Address - Street 2:SUITE B
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3679
Practice Address - Country:US
Practice Address - Phone:714-669-9555
Practice Address - Fax:714-669-9496
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA333921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice