Individual
DR. AMY RUTH BRYAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
117 LINWOOD AVE, BUFFALO, NY 14209-2003
(716) 882-6333
(716) 882-0891
Mailing address
117 LINWOOD AVE, BUFFALO, NY 14209-2003
(716) 882-6333
(716) 882-0891
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
042056
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01140087
—
NY
Enumeration date
05/05/2006
Last updated
07/09/2007
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