Provider Demographics
NPI:1861831141
Name:VALERIO, BARBORA HNIZDA (DDS)
Entity Type:Individual
Prefix:
First Name:BARBORA
Middle Name:HNIZDA
Last Name:VALERIO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:BARBORA
Other - Middle Name:
Other - Last Name:HNIZDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 HAGEN DR
Mailing Address - Street 2:SUITE 340
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2666
Mailing Address - Country:US
Mailing Address - Phone:585-385-2020
Mailing Address - Fax:
Practice Address - Street 1:20 HAGEN DR
Practice Address - Street 2:SUITE 340
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2666
Practice Address - Country:US
Practice Address - Phone:585-385-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-19
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057416122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist