Individual
MISS DANIEL ALOYSIUS FALTISCO I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16 W MAIN ST, SUITE 2, FREDONIA, NY 14063-2117
(716) 672-2980
Mailing address
16 W MAIN ST, SUITE 2, FREDONIA, NY 14063-2117
(716) 672-2980
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052657-1
NY
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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