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Individual

DR. VICTOR ANTHONY BOCHACKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
22 S BUFFALO ST, SPRINGVILLE, NY 14141-1239
(716) 592-2277
Mailing address
132 BURBANK DR, ORCHARD PARK, NY 14127-2383
(716) 667-3412

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
040655-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01006968
NY
Enumeration date
11/20/2006
Last updated
01/05/2008
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