Provider Demographics
NPI:1538848189
Name:GALENAS, VICTORIA LYNN (DMD)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:LYNN
Last Name:GALENAS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1918 CHRISTIAN ST APT B
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-2659
Mailing Address - Country:US
Mailing Address - Phone:570-237-2040
Mailing Address - Fax:
Practice Address - Street 1:1000 EASTON RD
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-2918
Practice Address - Country:US
Practice Address - Phone:267-367-5014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0441451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice