Individual
DR. MIRA EDGERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3951 MAIN ST, AMHERST, NY 14226-3401
(716) 836-7250
Mailing address
3951 MAIN ST, AMHERST, NY 14226-3401
(716) 836-7250
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
34337
NY
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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