Provider Demographics
NPI:1730270893
Name:BENKO, VICTORIA LUE (DDS)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:LUE
Last Name:BENKO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:VICTORIA
Other - Middle Name:GAIL
Other - Last Name:LUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:110 BLACKTHORN DRIVE
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16002
Mailing Address - Country:US
Mailing Address - Phone:724-586-2955
Mailing Address - Fax:724-586-2956
Practice Address - Street 1:5900 CORPORATE DRIVE
Practice Address - Street 2:STE 220
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237
Practice Address - Country:US
Practice Address - Phone:412-847-1420
Practice Address - Fax:412-847-1422
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028902L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist