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1164100855
MATTHEW WALLA DDS PLLC
AMHERST, NY
NPI
1164100855
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Entity Type
Organization
Authorized Contact
GREGORY WHITE
CEO
859-533-1109
Organization Subpart ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
Enumeration Date
2023-07-11
Last Update Date
2023-07-11
Business Address
MATTHEW WALLA DDS PLLC
3985 MAIN ST
AMHERST, NY 14226-3404
Phone number: 716-832-1550
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Mailing Address
MATTHEW WALLA DDS PLLC
105 SPRUCE ST
LEXINGTON, KY 40507-2109
Phone number:
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