| Grider Dental Services, Pllc | |
|
462 Grider St Buffalo NY 14215-3021 | |
| (716) 898-3351 | |
| (716) 898-5729 |
| Full Name | Grider Dental Services, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 462 Grider St, Buffalo, New York |
| Authorized Official Name and Position | Catherine M. Gogan (OWNER/MEMBER) |
| Authorized Official Contact | 7168983351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grider Dental Services, Pllc 462 Grider St Buffalo NY 14215-3021 Ph: (716) 898-3351 | Grider Dental Services, Pllc 462 Grider St Buffalo NY 14215-3021 Ph: (716) 898-3351 |
| NPI Number | 1023204666 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 09/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023204666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39448 (New York) | Primary |
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