Individual
DR. EWA KONOPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
21038 CALISTOGA ST., MIDDLETOWN, CA 95461-1124
(707) 987-2773
(707) 987-0688
Mailing address
PO BOX 1124, MIDDLETOWN, CA 95461-1124
(707) 987-2773
(707) 987-0688
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
45896
CA
Other
Enumeration date
05/23/2007
Last updated
06/02/2015
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