Organization
LOCKPORT ORTHODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT P CAVALLARI (PRESIDENT)
(716) 433-3883
Entity
Organization
Contact information
Practice address
130 PROFESSIONAL PKWY, LOCKPORT, NY 14094-5368
(716) 433-3883
Mailing address
130 PROFESSIONAL PKWY, LOCKPORT, NY 14094-5368
(716) 433-3883
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
39590
NY
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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