Individual
CUI CUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MSC, MSC, PHD
Contact information
Practice address
3435 MAIN ST, BUFFALO, NY 14214-3001
(647) 877-5201
(647) 877-5201
Mailing address
3435 MAIN ST, BUFFALO, NY 14214-3001
(647) 877-5201
(647) 877-5201
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
000166-01
NY
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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