Valdivia, Patricia B
Valdivia, Patricia B is an sole proprietor health care provider with primary practice located at 1209 Bonita St , Grants NM 87020-2103. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Valdivia, Patricia B can be contacted via phone (505) 876-4034.Contact Information
Primary practice address
1209 Bonita St
Grants NM 87020-2103
Phone: (505) 876-4034
Fax: (505) 876-4036
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DD1637 | New Mexico |
Profile Details
| NPI number | 1891776225 |
|---|---|
| LBN Legal business name | Valdivia, Patricia B |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 11th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891776225 | NPPES |
| New Mexico | MEDICAID | 89292 | |
| New Mexico | Other | 837938 | |
| New Mexico | Other | 6583 |
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