Individual
DR. EWA GODECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2046 GENESEE ST, UTICA, NY 13502-5634
(315) 724-1083
Mailing address
2046 GENESEE ST, UTICA, NY 13502-5634
(315) 724-1083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34886
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00559751
—
NY
Enumeration date
12/05/2006
Last updated
07/08/2007
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