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Individual

MR. DAVID ALLEN BUCHANAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
546 PARK ST, STE 100, BOWLING GREEN, KY 42103
(270) 781-3133
(270) 846-0193
Mailing address
546 PARK ST, STE 200, BOWLING GREEN, KY 42103
(270) 781-3133
(270) 846-0193

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3668
KY
1223D0001X
Public Health Dentistry
3668
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60036688
KY
Enumeration date
03/27/2007
Last updated
09/23/2008
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