Individual
DR. NANCY MUFALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5782 MAIN ST STE 4, WILLIAMSVILLE, NY 14221-8219
(716) 630-1600
(716) 204-3589
Mailing address
5782 MAIN ST STE 4, WILLIAMSVILLE, NY 14221-8219
(716) 630-1600
(716) 204-3589
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047576-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03696022
—
NY
Enumeration date
12/27/2013
Last updated
12/27/2013
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