| Western New York Dental Group,pc | |
|
107 Delaware Ave Mezzanine Level, Statler Towers Buffalo NY 14202-2810 | |
| (716) 854-5543 | |
| (716) 854-5525 |
| Full Name | Western New York Dental Group,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 107 Delaware Ave, Buffalo, New York |
| Authorized Official Name and Position | Robert A. Gianadda (OWNER) |
| Authorized Official Contact | 7168545543 |
| 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 107 Delaware Ave Mezzanine Level, Statler Towers Buffalo NY 14202-2810 Ph: (716) 854-5543 |
| NPI Number | 1104999283 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104999283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 028528 (New York) | Primary |
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