Mitchell William Wilbert DDS

NPI 1013069111 - Dentist - 1223G0001X

NPI Details
NPI 1013069111
Gender Male
Enumeration Date 01/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
710 BLACK RIVER BLVD N
ROME NY, 13440-4328, US
Phone (315) 339-5364
Fax (315) 339-5365
Business Location
PO BOX 25
WESTERNVILLE NY, 13486-0025, US
Phone (315) 827-4534
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 039265
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According to our database, Dr. Mitchell William Wilbert DDS NPI is 1013069111, taxonomy code is 1223G0001X and license number is 039265, license state is located at New York. Mitchell William Wilbert DDS physically located at 710 Black River Blvd N, Rome NY, 13440-4328. NPI Number Mitchell William Wilbert DDS has the Individual type.

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1013069111 NPI number is provided on an as is basis without warranty of any kind. 1013069111 is maintained by the National Plan & Provider Enumeration System. The contents of Mitchell William Wilbert DDS are for informational purposes only.