Individual
DR. MICHELLE BENTO LAVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
164 WALNUT ST, FALL RIVER, MA 02720-2418
(508) 679-2906
(508) 679-2908
Mailing address
164 WALNUT ST, FALL RIVER, MA 02720-2418
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
19261
MA
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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