Provider Demographics
NPI:1194276345
Name:VALENCIA, YESENIA (DDS)
Entity type:Individual
Prefix:DR
First Name:YESENIA
Middle Name:
Last Name:VALENCIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 S BARNETT ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-5705
Mailing Address - Country:US
Mailing Address - Phone:714-473-3999
Mailing Address - Fax:
Practice Address - Street 1:9891 IRVINE CENTER DR
Practice Address - Street 2:SUITE 120
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-4317
Practice Address - Country:US
Practice Address - Phone:949-943-3965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-21
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100772122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist