Individual
ARIYAN RAVANGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4001 LEGION DR, HAMBURG, NY 14075-4507
(716) 815-3636
Mailing address
4001 LEGION DR, HAMBURG, NY 14075-4507
(716) 815-3636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
057957
NY
1223E0200X
Endodontics
Primary
057957
NY
Other
Enumeration date
06/09/2014
Last updated
06/05/2024
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