Individual
MARY CANDACE COLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6490 MAIN STREET, SUITE #5, WILLIAMSVILLE, NY 14221-5853
(716) 633-6131
(716) 633-0086
Mailing address
6490 MAIN STREET, SUITE #5, WILLIAMSVILLE, NY 14221-5853
(716) 633-6131
(716) 633-0086
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
041122
NY
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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