Provider Demographics
NPI:1134172117
Name:PASQUANTONIO, VALENTINA (DDS)
Entity type:Individual
Prefix:DR
First Name:VALENTINA
Middle Name:
Last Name:PASQUANTONIO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:VALENTINA
Other - Middle Name:PASQUANTONIO
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:144 NORTH RD
Mailing Address - Street 2:SUITE 2125
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-1156
Mailing Address - Country:US
Mailing Address - Phone:978-369-2500
Mailing Address - Fax:978-369-2517
Practice Address - Street 1:144 NORTH RD
Practice Address - Street 2:SUITE 2125
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-1156
Practice Address - Country:US
Practice Address - Phone:978-369-2500
Practice Address - Fax:978-369-2517
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11244122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist