Individual
KATHRYN MICHELLE PAWLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1091 MAIN ST, BUFFALO, NY 14209-2305
(716) 829-2723
Mailing address
1091 MAIN ST, BUFFALO, NY 14209-2305
(716) 242-8200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
061944
NY
1223P0221X
Pediatric Dentistry
Primary
061944
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2019
Last updated
11/05/2021
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