Provider Demographics
NPI:1225045834
Name:FIRLIK, URSZULA M (DDS)
Entity Type:Individual
Prefix:DR
First Name:URSZULA
Middle Name:M
Last Name:FIRLIK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6225 WEST RIVER DRIVE NE
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MI
Mailing Address - Zip Code:49306-9025
Mailing Address - Country:US
Mailing Address - Phone:616-361-0603
Mailing Address - Fax:616-361-7688
Practice Address - Street 1:6225 WEST RIVER DRIVE NE
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MI
Practice Address - Zip Code:49306-9025
Practice Address - Country:US
Practice Address - Phone:616-361-0603
Practice Address - Fax:616-361-7688
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI158021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice