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Contact Information

BUFFALO DENTAL GROUP PA
1000 HIGHWAY 25 SOUTH
BUFFALO, MN55313
 Phone: 763-682-2363
 Fax: 763-682-3706
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BUFFALO DENTAL GROUP PA · (Female)

NPI Number 1003004334
Status Active
Credentials
Entity Individual
Enumeration date 10/11/2007
Last updated 10/11/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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