Individual
CHARLES SEBASTIAN TRAVAGLIATO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4741 CAMP RD, HAMBURG, NY 14075-2603
(716) 646-9423
(716) 646-9429
Mailing address
4741 CAMP RD, HAMBURG, NY 14075-2603
(716) 646-9423
(716) 646-9429
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00708681
—
NY
Enumeration date
09/27/2005
Last updated
07/08/2007
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