Provider Demographics
NPI:1477760858
Name:SWEENY, VALERY SANDRA (DDS)
Entity Type:Individual
Prefix:MS
First Name:VALERY
Middle Name:SANDRA
Last Name:SWEENY
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 1:3706 W SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-1528
Mailing Address - Country:US
Mailing Address - Phone:310-441-0111
Mailing Address - Fax:323-664-8635
Practice Address - Street 1:3706 W SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-1528
Practice Address - Country:US
Practice Address - Phone:323-669-0339
Practice Address - Fax:323-664-8635
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42616122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist