Doctor Name: | DR. PAUL CANALLATOS |
NPI Number: | 1841551652 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S. |
License Number: | |
Business Practice Address: | 1705 Pine Ave Niagara Falls, NY - 143012231 |
Business Phone Number: | 7162840110 |
Business Fax Number: | |
Mailing Address: | 2890 Delaware Ave, Apartment 1 KENMORE |
State: | NY |
Postal Code: | 142172309 |
Phone Number: | 5166807368 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2012 |
NPI Last Update Date: | 09/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |