NPI 1598965691

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

Organisation Dentist Depew, NY

Practice location

Address: 2197 George Urban Blvd, Depew, NY 14043-1960
Phone: (716) 683-7443
Fax: (716) 684-3597

Authorised official

Name: Chester Joseph Gary
Title: Corporate Shareholder
Phone: (716) 683-7443

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 33932 (NY)

Other Dentist providers in New York →

Dentist

Dental Providers Taxonomy 122300000X Licence 41403 (NY)

Registry record

NPI: 1598965691
Entity type: Organization
NPI issued: 18 Jul 2007
Record last updated: 18 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.