Provider Demographics
NPI:1831357268
Name:VALME, ELIZABETH M (DDS)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:M
Last Name:VALME
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:M
Other - Last Name:RENE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:13762 W STATE ROAD 84
Mailing Address - Street 2:PMB #403
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33325-5305
Mailing Address - Country:US
Mailing Address - Phone:305-213-5373
Mailing Address - Fax:
Practice Address - Street 1:13762 W STATE ROAD 84
Practice Address - Street 2:PMB#403
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33325-5305
Practice Address - Country:US
Practice Address - Phone:305-213-5373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2017-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN18237122300000X, 1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist