MEDICARE: DR. EWELINA MARIA KALINOWSKA-SZYSZKA DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN 16370	FL

General Provider Information

NPI Number	:	1487077806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EWELINA MARIA KALINOWSKA-SZYSZKA DDS

Provider Business Mailing Address
First Line	:	510 E TARPON AVE
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689-4324
Country	:	US
Telephone Number	:	727-938-9200
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 E TARPON AVE
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689-4324
Country	:	US
Telephone Number	:	727-938-9200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2014
Last Update Date	:	01/22/2014

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