Whalio Doctors

NPI 1669026365

Kerisa Lynne Muffoletto, RDH

Practitioner Dental Hygienist Buffalo, NY

Practice location

Address
155 Lawn Ave, Buffalo, NY 14207-1816
Phone
(716) 875-2904
Mailing address
5746 Ridge Rd, Lockport, NY 14094-9408

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 027201-1 (NY)

Registry record

NPI
1669026365
Entity type
Individual
Sex (as registered)
Female
NPI issued
31 Jul 2019
Record last updated
31 Jul 2019

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.