Provider Demographics
NPI:1780099556
Name:FALKOWSKA, WIOLETTA JADWIGA (DDS)
Entity type:Individual
Prefix:DR
First Name:WIOLETTA
Middle Name:JADWIGA
Last Name:FALKOWSKA
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 1:2675 E 7TH ST APT 3A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6254
Mailing Address - Country:US
Mailing Address - Phone:646-573-9367
Mailing Address - Fax:
Practice Address - Street 1:2233 W 9TH ST
Practice Address - Street 2:WEST 9 FAMILTY DENTISTRY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-4413
Practice Address - Country:US
Practice Address - Phone:718-372-8005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-30
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058040122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist