NPI 1053825109

Vickey Bernadette Valdez, DENTALASSISTANT

Practitioner Dental Assistant Fort Carson, CO

Practice location

Address: 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095
Phone: (719) 526-5537

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1053825109
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Nov 2017
Record last updated: 28 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.