Individual
DR. CHARLES ENSWORTH BUCHANAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21820 HEMPSTEAD AVE STE 2, QUEENS VILLAGE, NY 11429-1235
(718) 217-8700
(718) 217-8701
Mailing address
13923 246TH ST, ROSEDALE, NY 11422-2291
(347) 867-5929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34510
TX
Other
Enumeration date
04/03/2017
Last updated
10/16/2023
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