Eduardo J Valda in Gallup - General Practice
Eduardo J Valda - NPI 1174509582
Eduardo J Valda is a General Practice in Gallup, New Mexico. Eduardo J Valda practices all healthcare services and medical treatments related to General Practice. The NPI Number for Eduardo J Valda is 1174509582. The last update date is 2007-07-08.
Eduardo J Valda's current location address is 107 W Green St, Gallup, New Mexico. You can contact this provider via phone number 5058706128. The mailing address for Eduardo J Valda is 107 W Green St, Gallup, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eduardo J Valda |
|---|---|
| Address | 107 W Green St, Gallup, New Mexico |
| Phone Number | 5058706128 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1174509582 |
|---|---|
| Provider Enumeration Date | 2005-12-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 107 W Green St |
|---|---|
| City | Gallup |
| State | New Mexico (NM) |
| Post Code | 873016241 |
| Phone Number | 5058706128 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DD2150 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A5636 | NM | -- |
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What is the unique identification code assigned to Eduardo J Valda by the Centers for Medicare & Medicaid Services?
The Eduardo J Valda has been issued the NPI (National Provider Identifier) 1174509582. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Eduardo J Valda located?
The Eduardo J Valda is located at 107 W Green St, Gallup, NM 873016241.
What is Eduardo J Valda's specialized field of practice, and what is the corresponding taxonomy classification code?
The Eduardo J Valda's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174509582 to Eduardo J Valda?
The Centers for Medicare & Medicaid Services assigned the 1174509582 to Eduardo J Valda on 2005-12-16.
As of what date were the details related to Eduardo J Valda most recently updated or revised?
The information pertaining to Eduardo J Valda, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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