| Buffalo Dental Group Pa | |
|
1000 Highway 25 South Buffalo MN 55313 | |
| (763) 682-2363 | |
| (763) 682-3706 |
| Full Name | Buffalo Dental Group Pa |
|---|---|
| Speciality | Dentist |
| Location | 1000 Highway 25 South, Buffalo, Minnesota |
| Authorized Official Name and Position | Mark T Pokorney (VICE PRESIDENT) |
| Authorized Official Contact | 7636822363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buffalo Dental Group Pa 1000 Highway 25 South Buffalo MN 55313 Ph: (763) 682-2363 | Buffalo Dental Group Pa 1000 Highway 25 South Buffalo MN 55313 Ph: (763) 682-2363 |
| NPI Number | 1003004334 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 10/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003004334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Minnesota) | Primary |
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