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Individual

MARIAH PEWARSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
188 SUMMERFIELD ST, SCARSDALE, NY 10583-5479
(914) 472-2929
Mailing address
188 SUMMERFIELD ST, SCARSDALE, NY 10583-5479
(914) 472-2929

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
062121
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
062121
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22DI02823200
NJ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/13/2018
Last updated
10/12/2023
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