NPI | 1629376256 |
---|---|
Doing Business As | BUFFALO DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | MATTHEW HEIN Owner 307-684-7533 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WY 1242) |
Enumeration Date | 2011-03-07 |
Last Update Date | 2011-03-07 |