Whalio Doctors

NPI 1083078554

Marvin Vallejo

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Rochester, MN

Practice location

Address
200 1st St SW, Rochester, MN 55905-0001
Phone
(507) 284-2511

Registered specialties (3)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 68180 (MN)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence D13719 (MN)
Oral & Maxillofacial Surgery (D.M.D.)
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 29838 (MN)

Registry record

NPI
1083078554
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Apr 2016
Record last updated
30 Mar 2023

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.