| Matthew Walla Dds Pllc | |
|
3985 Main St Amherst NY 14226-3404 | |
| (716) 832-1550 | |
| Not Available |
| Full Name | Matthew Walla Dds Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3985 Main St, Amherst, New York |
| Authorized Official Name and Position | Gregory White (CEO) |
| Authorized Official Contact | 8595331109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Walla Dds Pllc 105 Spruce St Lexington KY 40507-2109 Ph: () - | Matthew Walla Dds Pllc 3985 Main St Amherst NY 14226-3404 Ph: (716) 832-1550 |
| NPI Number | 1164100855 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164100855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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