Provider Demographics
NPI:1205330289
Name:IZQUIERDO VALDES, JAVIER FRANCISCO (DDS)
Entity type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:FRANCISCO
Last Name:IZQUIERDO VALDES
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 1:10722 SW 138TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-3165
Mailing Address - Country:US
Mailing Address - Phone:786-389-6101
Mailing Address - Fax:
Practice Address - Street 1:4410 W 16TH AVE STE 31
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7835
Practice Address - Country:US
Practice Address - Phone:786-703-5558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-22
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN251071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice