Provider Demographics
NPI:1558022780
Name:V VALDEZ DDS, INC
Entity type:Organization
Organization Name:V VALDEZ DDS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RCM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YASMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAVATTUVEETIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-297-6600
Mailing Address - Street 1:3075 BEACON BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95691-3462
Mailing Address - Country:US
Mailing Address - Phone:916-297-6600
Mailing Address - Fax:
Practice Address - Street 1:675 CONTRA COSTA BLVD
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-1514
Practice Address - Country:US
Practice Address - Phone:925-326-7006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-10
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty