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Organization
BUFFALO ORAL SURGERY SPECIALISTS PLLC
Active
Organization
BUFFALO ORAL SURGERY SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW BRACCI DMD (CLINICAL COORDINATOR)
(312) 502-1292
Entity
Organization
Contact information
Practice address
117 LINWOOD AVE, BUFFALO, NY 14209-2003
(716) 882-6333
(716) 882-0891
Mailing address
117 LINWOOD AVE, BUFFALO, NY 14209-2003
(716) 882-6333
(716) 882-0891
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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