Organization
EARL L. ESTWICK, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL L ESTWICK D.M.D. (PRESIDENT)
(845) 623-4887
Entity
Organization
Contact information
Practice address
446 ROUTE 304, SUITE C, BARDONIA, NY 10954-1617
(845) 623-4887
(845) 623-3984
Mailing address
446 ROUTE 304, SUITE C, BARDONIA, NY 10954-1617
(845) 623-4887
(845) 623-3984
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044414
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01448508
—
NY
Enumeration date
03/20/2007
Last updated
01/04/2010
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