DR. Jerzy Wozniak, DDS

NPI #1063628006 in Boise, Idaho

Provider Information

NPI Number: 1063628006
Entity Type: Individual
Name: DR. Jerzy Wozniak, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 15, 2007
Last Updated: Sep 12, 2012

Practice Location

Address: 8590 W FAIRVIEW AVE
City: Boise
State: Idaho
ZIP Code: 83704-8320
Phone: (208) 891-6596

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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