| NPI | 1770854549 |
|---|---|
| Doing Business As | PEACH STREET DENTAL & DENTAL |
| Entity Type | Organization |
| Authorized Contact | AMAN U SYED President 716-400-1868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| 1223P0700X Dentist, Prosthodontics | |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| 126900000X Dental Laboratory Technician | |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |