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Organization
UNIVERSITY DENTAL ASSOCIATES, INC.
Active
Organization
UNIVERSITY DENTAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE F. ORTMAN D.D.S. (EXECUTIVE DIRECTOR)
(716) 829-6370
Entity
Organization
Contact information
Practice address
210A SQUIRE HALL, SCHOOL OF DENTAL MEDICINE UNIVERSITY AT BUFFALO SUNY, BUFFALO, NY 14214-8006
(716) 829-2721
Mailing address
210A SQUIRE HALL, SCHOOL OF DENTAL MEDICINE UNIVERSITY AT BUFFALO SUNY, BUFFALO, NY 14214-8006
(716) 829-2721
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
04/07/2010
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