Valla, Michael

Valla, Michael is an individual health care provider with primary practice located at 100 Park St , Glens Falls NY 12801-4413. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Valla, Michael can be contacted via phone (518) 926-5908.

Contact Information

Primary practice address
100 Park St Glens Falls NY 12801-4413
Phone: (518) 926-5908
Fax: (518) 926-5909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 040406 New York

Profile Details

NPI number 1629067384
LBN Legal business name Valla, Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Apr 9th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629067384 NPPES
Other 000491895001 BLUE SHIELD NENY

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