Individual
MS. TRACI P. MOVALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
82 HOLLAND ST, ROCHESTER, NY 14605-2131
(585) 423-5800
Mailing address
82 HOLLAND ST, ROCHESTER, NY 14605-2131
(585) 423-5800
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
025418
NY
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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