Organization
JIHANE M RIAD, DDS, PLLC
Active
Other names
DPR General Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA L RUSSELL (OFFICE MANAGER)
(716) 434-0610
Entity
Organization
Contact information
Practice address
5875 SNYDER DRIVE, LOCKPORT, NY 14094
(716) 434-0610
(716) 434-4394
Mailing address
5875 SNYDER DRIVE, LOCKPORT, NY 14094
(716) 434-0610
(716) 434-4394
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063432102
GENERAL DENTISTRY
NY
01
—
1235678640
GENERAL DENTISTRY
NY
01
—
1457378549
GENERAL DENTISTRY
NY
01
—
1548287626
GENERAL DENTISTRY
NY
Enumeration date
02/14/2019
Last updated
07/02/2024
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