Organization
BUFFALO ORAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERT HAROLD SCHULENBERG DDS (OWNER)
(716) 882-6333
Entity
Organization
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
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02136730
—
PW
Enumeration date
10/24/2007
Last updated
10/24/2007
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