MEDICARE: DR. CYNTHIA FALU DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	052397	NY

General Provider Information

NPI Number	:	1639169477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA FALU DMD

Provider Business Mailing Address
First Line	:	216 WEEKS DR
Second Line	:
City	:	CAMDEN
State	:	DE
Zip	:	19934-1246
Country	:	US
Telephone Number	:	302-257-1540
Fax Number	:

Provider Business Practice Location Address
First Line	:	216 WEEKS DR
Second Line	:
City	:	CAMDEN
State	:	DE
Zip	:	19934-1246
Country	:	US
Telephone Number	:	302-257-1540
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	10/09/2024

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