Whalio Doctors

NPI 1699932715

Sandra a Whalen, CDARDA

Practitioner Dental Assistant Lackawanna, NY

Practice location

Address
790 Ridge Rd, Lackawanna, NY 14218-1629
Phone
(716) 828-9334
Mailing address
39 N Shore Dr, Blasdell, NY 14219-2310

Registered specialties (2)

Dental Assistant Primary
Dental Providers Taxonomy 126800000X
Dental Assistant
Dental Providers Taxonomy 126800000X Licence 000706 (NY)

Registry record

NPI
1699932715
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 May 2008
Record last updated
16 May 2008

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.