Provider Demographics
NPI:1588257505
Name:VALLO DENTISTRY P-LLC
Entity type:Organization
Organization Name:VALLO DENTISTRY P-LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:VALLO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:412-389-0977
Mailing Address - Street 1:10909 W LINEBAUGH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-1741
Mailing Address - Country:US
Mailing Address - Phone:412-389-0977
Mailing Address - Fax:
Practice Address - Street 1:10909 W LINEBAUGH AVE STE 100
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-1741
Practice Address - Country:US
Practice Address - Phone:412-389-0977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-20
Last Update Date:2025-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental