Individual
DR. CODY WIKTORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6350 TRANSIT RD, DEPEW, NY 14043-1039
(716) 206-0718
Mailing address
114 JACKSON ROAD EXT, PENFIELD, NY 14526-1239
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
063970
NY
Other
Enumeration date
05/16/2022
Last updated
11/15/2024
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