Individual
RENATA DWORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
77 GRANDVIEW DR, BLOOMINGBURG, NY 12721-4710
(917) 626-5113
Mailing address
77 GRANDVIEW DR, BLOOMINGBURG, NY 12721-4710
(917) 626-5113
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
027509
NY
Other
Enumeration date
02/13/2022
Last updated
10/08/2023
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