Individual
AYMAN ALY MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1740 WALDEN AVENUE, 100, CHEEKTOWAGA, NY 14225
(716) 832-9509
Mailing address
70 B EMBASSY SQ, APT #1, TONAWANDA, NY 14150
(716) 832-9509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
52120
NY
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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