Organization
BUFFALO DENTAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK T POKORNEY DDS (VICE PRESIDENT)
(763) 682-2363
Entity
Organization
Contact information
Practice address
1000 HIGHWAY 25 SOUTH, BUFFALO, MN 55313
(763) 682-2363
(763) 682-3706
Mailing address
1000 HIGHWAY 25 SOUTH, BUFFALO, MN 55313
(763) 682-2363
(763) 682-3706
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
MN
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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