Individual
MRS. MELANIE FETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
790 RIDGE RD, LACKAWANNA, NY 14218-1701
(716) 828-9348
(716) 828-9355
Mailing address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
(716) 828-9348
(716) 828-9355
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
022038
NY
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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