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GERSON SANCHEZ VALLES D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1649360702

Individual Registrant:
 GERSON SANCHEZ VALLES D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
414 W SOLEDAD AVE STE 300  HAGATNA, GU 96910-5073 US
Tel: 671-472-2489  Fax: 671-477-9275

Contact information for business:
414 W SOLEDAD AVE STE 300  HAGATNA, GU 96910-5073 US
Tel: 671-472-2489  Fax: 671-477-9275

Registration Information:
NPI: 1649360702
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N122300000XDental Providers
Dentist
CA26241
Y122300000XDental Providers
Dentist
GUD-569

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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