Individual
GUSTAVO FARIA CERQUEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
3435 MAIN ST, BUFFALO, NY 14214-3001
(716) 829-6645
Mailing address
3435 MAIN ST, BUFFALO, NY 14214-3001
(716) 829-6645
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
159
NY
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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