Individual
MEAGHAN ALLYCE BOLGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2896 GRAND ISLAND BLVD, GRAND ISLAND, NY 14072-1251
(716) 773-7074
Mailing address
97 WESTFIELD RD, AMHERST, NY 14226-3492
(716) 480-9819
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057884
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2014
Last updated
10/28/2016
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