Organization
ASPIRE FAMILY DENTAL, PLLC
Active
Other names
Aspire Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD R LEVINE (OWNER)
(716) 439-1877
Entity
Organization
Contact information
Practice address
476 HERTEL AVENUE, BUFFALO, NY 14207
(716) 877-3510
(716) 877-3541
Mailing address
476 HERTEL AVENUE, BUFFALO, NY 14207
(716) 877-3510
(716) 877-3541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03162109
—
NY
Enumeration date
12/08/2009
Last updated
09/23/2019
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