Grider Dental Services, Pllc

NPI #1023204666 in Buffalo, New York

Provider Information

NPI Number: 1023204666
Entity Type: Organization
Organization Name: Grider Dental Services, Pllc
Primary Specialty: Dentist
Enumeration Date: Sep 18, 2007
Last Updated: Sep 18, 2007

Practice Location

Address: 462 GRIDER ST
City: Buffalo
State: New York
ZIP Code: 14215-3021
Phone: (716) 898-3351

Authorized Official

Name: DR. CATHERINE M. GOGAN, DDS
Title: OWNER/MEMBER
Phone: (716) 898-3351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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