Ronald S Wershba

NPI #1255510145 in Ridgewood, New York

Provider Information

NPI Number: 1255510145
Entity Type: Individual
Name: Ronald S Wershba
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Oct 29, 2007
Last Updated: Oct 29, 2007

Practice Location

Address: 5621 METROPOLIATAN AVE
City: Ridgewood
State: New York
ZIP Code: 11385
Phone: (718) 281-2149

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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