Individual
BRYAN ST MARIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3435 MAIN ST #32, BUFFALO, NY 14214
(716) 662-7183
Mailing address
27 SILENT MEADOW, ORCHARD PARK, NY 14127
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058316-1
NY
Other
Enumeration date
03/21/2016
Last updated
02/27/2021
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