Individual
ALI MANZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-1736
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060543
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2018
Last updated
08/14/2019
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