Individual
DR. LISA MARIE MRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1100 MAIN ST, BUFFALO, NY 14209-2308
(716) 242-8200
Mailing address
1100 MAIN ST, BUFFALO, NY 14209-2308
(716) 242-8200
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
047284-1
NY
Other
Enumeration date
12/06/2006
Last updated
10/10/2012
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