Provider First Line Business Practice Location Address:
210A SQUIRE HALL UNIVERSITY DENTAL ASSOCIATES
Provider Second Line Business Practice Location Address:
UB SCHOOL OF DENTAL MEDICINE
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:
716-829-2862
Provider Business Practice Location Address Fax Number:
716-829-2440
Provider Enumeration Date:
03/27/2007