Individual
DR. EDWIN LOUIS TYSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1077 DELAWARE RD., BUFFALO, NY 14223
(716) 875-0405
(716) 875-9620
Mailing address
1077 DELAWARE RD., BUFFALO, NY 14223
(716) 875-0405
(716) 875-9620
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047802
NY
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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