Provider Demographics
NPI:1427251578
Name:VALENZA, IRENA MODRYCKA (DMD)
Entity type:Individual
Prefix:DR
First Name:IRENA
Middle Name:MODRYCKA
Last Name:VALENZA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:960 OLD YORK RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-4709
Mailing Address - Country:US
Mailing Address - Phone:215-887-1252
Mailing Address - Fax:215-884-7929
Practice Address - Street 1:960 OLD YORK RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-4709
Practice Address - Country:US
Practice Address - Phone:215-887-1252
Practice Address - Fax:215-884-7929
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS018432L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics