Individual
DR. BETHANY ROSE MATTINA-CHMIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3364 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1524
(716) 332-2444
Mailing address
3364 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1524
(716) 332-2444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062129
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/22/2020
Last updated
10/22/2021
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