Individual
FADY BARSOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3500 SHERIDAN DR, AMHERST, NY 14226-1548
(716) 508-4547
Mailing address
1100 TUESMAN WAY, OAKVILLE, ONTARIO L6H7M-8
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063469
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2022
Last updated
10/11/2023
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