Organization
CHENANGO BRIDGE DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY S ROMANOWSKI D.D.S. (OWNER)
(607) 648-4113
Entity
Organization
Contact information
Practice address
528 MAIN ST., CHENANGO BRIDGE, NY 13745
(607) 648-4113
Mailing address
PO BOX 481, CHENANGO BRIDGE, NY 13745-0481
(607) 648-4113
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
042233
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02244806
—
NY
Enumeration date
05/18/2007
Last updated
08/22/2020
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