Provider Demographics
NPI:1538879408
Name:VALENTINI GRAS DENTAL PLLC
Entity type:Organization
Organization Name:VALENTINI GRAS DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:YASMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDELLIN
Authorized Official - Suffix:
Authorized Official - Credentials:RDA
Authorized Official - Phone:832-763-3185
Mailing Address - Street 1:650 HEIGHTS BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-2524
Mailing Address - Country:US
Mailing Address - Phone:281-974-4086
Mailing Address - Fax:
Practice Address - Street 1:4718 INGERSOLL ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-6602
Practice Address - Country:US
Practice Address - Phone:832-763-3185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-01
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty