Wawrzynek, Dolores J.

Wawrzynek, Dolores J. is an individual health care provider with primary practice located at 475 Payne Ave , N Tonawanda NY 14120-6903. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Wawrzynek, Dolores J. can be contacted via phone (716) 695-4984.

Contact Information

Primary practice address
475 Payne Ave N Tonawanda NY 14120-6903
Phone: (716) 695-4984
Fax: (716) 695-4985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 039532 New York

Profile Details

NPI number 1215996871
LBN Legal business name Wawrzynek, Dolores J.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215996871 NPPES
New York MEDICAID 01085574

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