Organization
BUFFALO ORAL SURGERY SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW BRACCI DMD (CLINICAL COORDINATOR)
(312) 502-1292
Entity
Organization
Contact information
Practice address
117 LINWOOD AVE, BUFFALO, NY 14209-2003
(716) 882-6333
(716) 882-0891
Mailing address
117 LINWOOD AVE, BUFFALO, NY 14209-2003
(716) 882-6333
(716) 882-0891
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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