Organization
BUFFALO ROAD DENTAL LLC
Active
Other names
Harborcreek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
VICENTA REYES (LEAD OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
4820 BUFFALO RD, ERIE, PA 16510-2302
(814) 899-0444
(814) 898-2403
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(814) 899-0444
(814) 898-2403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
02/12/2024
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