Chester J. Gary, DDS and Mark D. Powalski, Dds, PC

NPI #1598965691 in Depew, New York

Provider Information

NPI Number: 1598965691
Entity Type: Organization
Organization Name: Chester J. Gary, DDS and Mark D. Powalski, Dds, PC
Primary Specialty: Dentist
Enumeration Date: Jul 18, 2007
Last Updated: Jul 18, 2007

Practice Location

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

Authorized Official

Name: DR. CHESTER JOSEPH GARY, DDS
Title: CORPORATE SHAREHOLDER
Phone: (716) 683-7443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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