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Individual

DR. RYANN BEVILACQUA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
6501 TRANSIT ROAD, EAST AMHERST, NY 14052-1427
(716) 689-0313
Mailing address
6501 TRANSIT ROAD, EAST AMHERST, NY 14052
(716) 689-0313

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
053373-1
NY

Other

Enumeration date
08/13/2007
Last updated
05/12/2008
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