| Western New York Dental Group Pc | |
|
2290 Delaware Ave Suite 300 Buffalo NY 14216-2604 | |
| (716) 885-1905 | |
| (716) 885-1908 |
| Full Name | Western New York Dental Group Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2290 Delaware Ave, Buffalo, New York |
| Authorized Official Name and Position | Steven T. Braunstein (OWNER) |
| Authorized Official Contact | 7168851905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western New York Dental Group Pc 125 Lawrence Bell Dr Suite 102 Williamsville NY 14221-7817 Ph: (716) 634-4679 | Western New York Dental Group Pc 2290 Delaware Ave Suite 300 Buffalo NY 14216-2604 Ph: (716) 885-1905 |
| NPI Number | 1114186749 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114186749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 032062 (New York) | Primary |
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