Individual
ERNEST ESOSA AIFUWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 862-8862
Mailing address
2136 MAIN ST APT 200, BUFFALO, NY 14214-2665
(917) 891-9026
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38244
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2021
Last updated
06/08/2022
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