Most Relevant Information
Provider Data
| NPI Number: | 1003256140 |
| Provider Name: | OMAR Y MIRZA DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 2901020595 |
Most Important Dates
| Enumeration Date: | 07/03/2013 |
| Last Updated: | 08/09/2018 |
Provider Practice Location
ELM AND CARLTON ST
BUFFALO
NY
14263
Practice Location Phone/Fax
| Phone: | 7168451067 |
| Fax: |
Provider Mailing Location
ELM AND CARLTON ST
BUFFALO
NY
142633039
Provider Mailing Phone/Fax
| Phone: | 7168451067 |
| Fax: |