Valley Health Team, Inc

Organization Active NPI Dentist · San Joaquin, CA

NPI 1043376577 · NPPES record last updated Oct 31, 2008

Key facts

NPI
1043376577
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
040000522 (CA)
Legal business name
VALLEY HEALTH TEAM, INC
Practice address
21890 Colorado Ave
San Joaquin, CA 93660-0737
Phone
(559) 693-2462
Fax
(559) 693-4382
NPI assigned
Dec 29, 2006
Organization subpart
No

Authorized official

Name
Mrs. Soyla R. Griffin, C.P.A.
Title
Chief Executive Officer
Phone
(559) 693-2462

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Valley Health Team Inc (25 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
122300000X 040000522 CA Yes

Addresses

Primary practice location

21890 Colorado Ave
San Joaquin, CA 93660-0737

Mailing address

PO Box 737
San Joaquin, CA 93660-0737
Phone (559) 693-2462

Other identifiers

IdentifierTypeStateIssuer
FHC03875FMedicaidCA

Other names

  • Valley Smiles Doing business as

Other providers in San Joaquin, CA

All providers in San Joaquin, CA · Dentist in California

Sources for this page

Verify at the official NPI Registry.