Provider Demographics
NPI:1437269156
Name:LABATE, VERONICA JO (DMD)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:JO
Last Name:LABATE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 NORTH 13TH STREET
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19604
Mailing Address - Country:US
Mailing Address - Phone:610-375-6821
Mailing Address - Fax:
Practice Address - Street 1:1518 NORTH 13TH STREET
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19604
Practice Address - Country:US
Practice Address - Phone:610-375-6821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022330L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist