Provider Demographics
NPI:1891956660
Name:SKIENDZIELEWSKI, VALERIE THERESA (DDS)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:THERESA
Last Name:SKIENDZIELEWSKI
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:PO BOX 1049
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-5049
Mailing Address - Country:US
Mailing Address - Phone:215-856-9013
Mailing Address - Fax:
Practice Address - Street 1:11410 BUSTLETON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19116-2809
Practice Address - Country:US
Practice Address - Phone:215-856-9013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020934L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice