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1316227606
MATTHEW WALLA
AMHERST, NY
NPI
1316227606
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NY 055170)
Enumeration Date
2011-08-18
Last Update Date
2011-08-18
Business Address
-- MATTHEW WALLA D.D.S.
3985 MAIN ST
AMHERST, NY 14226-3404
Phone number: 716-832-1550
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Mailing Address
-- MATTHEW WALLA D.D.S.
3985 MAIN ST
AMHERST, NY 14226-3404
Phone number: 716-832-1550
Copy
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