Organization
MARK J. BUCHWALDER D.D.S., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J BUCHWALDER D.D.S. (DOCTOR)
(937) 479-6098
Entity
Organization
Contact information
Practice address
1237 N MONROE DR, SUITE 103, XENIA, OH 45385-6609
(937) 376-2441
Mailing address
1237 N MONROE DR, SUITE 103, XENIA, OH 45385-6609
(937) 376-2441
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
OH30018199
OH
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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