Organization
BAILEY DENTAL,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMILLE NICOLE MEGNA-ACORLOR DDS (OWNER)
(716) 838-6633
Entity
Organization
Contact information
Practice address
2866 BAILEY AVE, BUFFALO, NY 14215-2802
(716) 838-6633
(716) 862-0096
Mailing address
2866 BAILEY AVE, BUFFALO, NY 14215-2802
(716) 838-6633
(716) 862-0096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04665289
—
NY
Enumeration date
07/10/2018
Last updated
07/10/2018
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