Individual
CHARLES ALAN MATLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8397 BOSTON STATE RD, BOSTON, NY 14025-9651
(716) 941-5433
(716) 941-5972
Mailing address
5281 VIA DEL SOLE, WILLIAMSVILLE, NY 14221
(716) 636-8215
(716) 688-2984
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NY 32221
NY
Other
Enumeration date
08/13/2006
Last updated
11/01/2010
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