Individual
GRIGORIOS LAVRENTIADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 SQUIRE HALL, BUFFALO, NY 14214-8006
(716) 645-8131
Mailing address
215 SQUIRE HALL, BUFFALO, NY 14214-8006
(716) 645-8131
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
000141
NY
Other
Enumeration date
09/09/2022
Last updated
11/06/2023
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