Individual
IWONA WYSOCKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
389 AVENUE C, BAYONNE, NJ 07002-5181
(201) 823-0015
Mailing address
389 AVE C, BAYONNE, NJ 07002-5181
(201) 823-0015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI021684
NJ
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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