Mark Powalski, DDS

NPI #1477960425 in Depew, New York

Provider Information

NPI Number: 1477960425
Entity Type: Individual
Name: Mark Powalski, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 22, 2014
Last Updated: Jul 22, 2014

Practice Location

Address: 2197 GEORGE URBAN BLVD
City: Depew
State: New York
ZIP Code: 14043-1960
Phone: (716) 683-7443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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