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Organization

BUFFALO FAMILY DENTISTRY

Active
Parent organization
BUFFALO FAMILY DENTISTRY
Organization subpart
Yes

Provider details

NPI number
Legal business name
BUFFALO FAMILY DENTISTRY
Authorized official
CASSIE KOEHN (BUSINESS ASSISTANT)
(763) 682-6885
Entity
Organization

Contact information

Practice address
106 CENTER DR, BUFFALO, MN 55313-2956
(763) 682-6885
(763) 682-4534
Mailing address
106 CENTER DR, BUFFALO, MN 55313-2956
(763) 682-6885
(763) 682-4534

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
07/19/2022
Last updated
07/19/2022
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