Gorodesky, Roman
Gorodesky, Roman is an individual health care provider with primary practice located at 7101 N Green Bay Ave Ste 10, Glendale WI 53209-2265. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gorodesky, Roman can be contacted via phone (414) 351-0510.Contact Information
Primary practice address
7101 N Green Bay Ave Ste 10
Glendale WI 53209-2265
Phone: (414) 351-0510
Fax: (414) 351-1440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5302 | Wisconsin |
Profile Details
| NPI number | 1194982405 |
|---|---|
| LBN Legal business name | Gorodesky, Roman |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2008 |
| Last updated | Oct 7th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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