Dr. Todd Mitchell Retell, DDS
Dentist, General Practice in Lockport, NY. Individual provider (NPI-1).
NPI number1720163884
StatusActive
Last updated in NPPESMay 19, 2015
Details
- NPI
- 1720163884
- Entity type
- Individual (NPI-1)
- Name
- Dr. Todd Mitchell Retell
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2006
- Last updated
- May 19, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 41617 | NY | Yes |
Practice location
39 Elizabeth DrLockport, NY 14094-5226
Phone 716-433-6004
Mailing address
4514 Sharon DrLockport, NY 14094-1314
Phone 716-439-8565
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