Individual
MISS CHA VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2521 WALDEN AVE, BUFFALO, NY 14225
(716) 507-8042
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-1686
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
059749
NY
Other
Enumeration date
04/03/2017
Last updated
08/16/2018
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