Individual
LATIFA RAHMAN BAIRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, MSC
Contact information
Practice address
3435 MAIN ST, 210 SQUIRE HALL SUNY AT BUFFALO, BUFFALO, NY 14214-3001
(716) 829-6360
Mailing address
3435 MAIN ST, 210 SQUIRE HALL SUNY AT BUFFALO, BUFFALO, NY 14214-3001
(716) 829-6360
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
000018-1
NY
Other
Enumeration date
05/20/2010
Last updated
05/24/2010
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