| University Dental Associates, Inc. | |
|
210a Squire Hall School Of Dental Medicine University At Buffalo Suny Buffalo NY 14214-8006 | |
| (716) 829-2721 | |
| Not Available |
| Full Name | University Dental Associates, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 210a Squire Hall, Buffalo, New York |
| Authorized Official Name and Position | Lance F. Ortman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7168296370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Dental Associates, Inc. 210a Squire Hall School Of Dental Medicine University At Buffalo Suny Buffalo NY 14214-8006 Ph: (716) 829-2721 | University Dental Associates, Inc. 210a Squire Hall School Of Dental Medicine University At Buffalo Suny Buffalo NY 14214-8006 Ph: (716) 829-2721 |
| NPI Number | 1275633273 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 04/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275633273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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