Provider Demographics
NPI:1942428214
Name:NEIDERS, MIRDZA ERIKA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MIRDZA
Middle Name:ERIKA
Last Name:NEIDERS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:181 SMALWOOD DR.
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226
Mailing Address - Country:US
Mailing Address - Phone:716-829-2054
Mailing Address - Fax:716-829-3554
Practice Address - Street 1:3435 MAIN ST
Practice Address - Street 2:355 SQUIRE HALL
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-3001
Practice Address - Country:US
Practice Address - Phone:716-829-2054
Practice Address - Fax:716-829-3554
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY241271223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology