Individual
DR. BRUCE T RIDOLFO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6576 E QUAKER ST, ORCHARD PARK, NY 14127-2502
(716) 662-9341
(716) 662-0317
Mailing address
124 RIVERMIST DR, BUFFALO, NY 14202-4300
(716) 854-1270
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
038442
NY
Other
Enumeration date
06/20/2006
Last updated
07/08/2007
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