Individual
DR. RONALD SCOTT SAMBURSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
205 OAKDALE RD, JOHNSON CITY, NY 13790
(607) 798-0789
Mailing address
205 OAKDALE RD, JOHNSON CITY, NY 13790
(607) 798-0789
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
0429661
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02242193
—
NY
Enumeration date
08/04/2006
Last updated
07/08/2007
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