Individual
DR. HESHAM ELTAGOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8201 MAIN ST STE 5, WILLIAMSVILLE, NY 14221-6046
(716) 630-9999
Mailing address
8201 MAIN ST SUITE # 5, WILLIAMSVILLE, NY 14221
(716) 630-9999
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
042874
NY
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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