| NPI | 1396237657 |
|---|---|
| Doing Business As | BUFFALO CREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | JON BARNES Member 580-704-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 6578) |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2018-06-03 |