Provider First Line Business Practice Location Address:
320 HAYES ROAD
Provider Second Line Business Practice Location Address:
114 SQUIRE HALL UNIVERSITY AT BUFFALO SCHOOL OF DENTAL
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-829-3717
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/30/2026