Individual
KATIE SHERIDAN SKARDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12205 GAYTON RD STE A, HENRICO, VA 23238-3212
(804) 741-1400
Mailing address
12205 GAYTON RD STE A, HENRICO, VA 23238-3212
(804) 741-1400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1639669815
VA
1223P0221X
Pediatric Dentistry
Primary
0401416478
VA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
05/14/2018
Last updated
03/01/2022
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