NPI 1043537764
Melanie Fetzer, RDH
Practice location
- Address
- 790 Ridge Rd, Lackawanna, NY 14218-1701
- Phone
- (716) 828-9348
- Fax
- (716) 828-9355
- Mailing address
- 790 Ridge Rd, Lackawanna, NY 14218-1629
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1043537764
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Apr 2010
- Record last updated
- 21 Apr 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.