Individual
ELIZABETH MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 HUNTINGTON CT., HAMBURG, NY 14075-5243
(716) 270-3453
Mailing address
60 HUNTINGTON CT, HAMBURG, NY 14075-5243
(716) 270-3453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
059239
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2016
Last updated
12/15/2017
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