Individual
MRS. AVA KHATIBSHAHIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-1736
Mailing address
18 KENASTON GDNS, UNIT 1304, NORTH YORK, ONTARIO M2K3C-7
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
064679
NY
Other
Enumeration date
07/14/2023
Last updated
07/22/2025
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