Individual
MARTIN GORKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
956 KENMORE AVE, BUFFALO, NY 14216-1450
(716) 874-7112
(716) 874-7113
Mailing address
956 KENMORE AVE, BUFFALO, NY 14216-1450
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058512-1
NY
Other
Enumeration date
03/11/2015
Last updated
02/07/2017
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