Provider Demographics
NPI:1447604574
Name:SZREDER, VERONIKA (DMD)
Entity Type:Individual
Prefix:
First Name:VERONIKA
Middle Name:
Last Name:SZREDER
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 1:8012 112TH STREET CT E STE 160
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-7856
Mailing Address - Country:US
Mailing Address - Phone:538-400-7892
Mailing Address - Fax:253-841-6832
Practice Address - Street 1:8012 112TH STREET CT E STE 160
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-7856
Practice Address - Country:US
Practice Address - Phone:538-400-7892
Practice Address - Fax:253-841-6832
Is Sole Proprietor?:No
Enumeration Date:2016-04-14
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE606748361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice