Provider Demographics
NPI:1912703307
Name:YAMAMOTO VALENZUELA, HIROSHI (DDS)
Entity type:Individual
Prefix:
First Name:HIROSHI
Middle Name:
Last Name:YAMAMOTO VALENZUELA
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 LYON ST
Mailing Address - Street 2:
Mailing Address - City:REEDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93654-8891
Mailing Address - Country:US
Mailing Address - Phone:787-340-3015
Mailing Address - Fax:
Practice Address - Street 1:7015 N CHESTNUT AVE STE 104
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-0349
Practice Address - Country:US
Practice Address - Phone:787-340-3015
Practice Address - Fax:559-475-0389
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111262122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist