Provider Demographics
NPI:1417242538
Name:SCOLA, VALERIE ANN (DDS)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:ANN
Last Name:SCOLA
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 1:25095 JEFFERSON AVE
Mailing Address - Street 2:#103
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-9113
Mailing Address - Country:US
Mailing Address - Phone:951-692-4221
Mailing Address - Fax:951-813-2040
Practice Address - Street 1:25095 JEFFERSON AVE
Practice Address - Street 2:#103
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-9113
Practice Address - Country:US
Practice Address - Phone:951-692-4221
Practice Address - Fax:951-813-2040
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011633A1223G0001X
CA615561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice