| Chester J. Gary, Dds And Mark D. Powalski, Dds, Pc | |
|
2197 George Urban Blvd Depew NY 14043-1960 | |
| (716) 683-7443 | |
| (716) 684-3597 |
| Full Name | Chester J. Gary, Dds And Mark D. Powalski, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 2197 George Urban Blvd, Depew, New York |
| Authorized Official Name and Position | Chester Joseph Gary (CORPORATE SHAREHOLDER) |
| Authorized Official Contact | 7166837443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chester J. Gary, Dds And Mark D. Powalski, Dds, Pc 2197 George Urban Blvd Depew NY 14043-1960 Ph: (716) 683-7443 | Chester J. Gary, Dds And Mark D. Powalski, Dds, Pc 2197 George Urban Blvd Depew NY 14043-1960 Ph: (716) 683-7443 |
| NPI Number | 1598965691 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 07/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598965691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41403 (New York) | Secondary |
| 122300000X | Dentist | 33932 (New York) | Primary |
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