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NPI 1083898670

NPI 1083898670 : VALERIE VENTERINA, DDS, PC : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1083898670
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    Entity Type          |    Organization 
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    Legal Business Name  |    VALERIE VENTERINA, DDS, PC 
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Dates
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    Enumeration Date     |    12/19/2007
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    Last Update Date     |    04/09/2025
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Provider Practice Location Address
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    Address Line         |    8510 - BAY 16 ST. 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11214
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    Country              |    US
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    Telephone            |    718-232-8289
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    Fax                  |    718-228-7453
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Provider Business Mailing Address
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    Address Line         |    8510 - BAY 16 ST. 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11214
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    Country              |    US
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    Telephone            |    718-232-8289
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    Fax                  |    718-228-7453
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. VALERIE ANN VENTERINA 
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    Credential           |    DDS
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    Telephone            |    718-232-8289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223P0300X
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    Taxonomy Name        |    Periodontics
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    License Number       |    033102
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    17121
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    036126
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    License Number State |    NY
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