Individual
DR. JACQUELINE MICHELLE MUNGILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2322 WEHRLE DR, WILLIAMSVILLE, NY 14221-7021
(716) 633-2327
Mailing address
10 BOGUE AVE, BATAVIA, NY 14020-1206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
059742
NY
Other
Enumeration date
07/02/2018
Last updated
07/24/2026
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