Individual
DR. HALEY SKELTON BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4200 BRYANT IRVIN RD STE 117, BENBROOK, TX 76109-4212
(817) 731-8401
Mailing address
6100 TROON RD, FORT WORTH, TX 76132-4428
(859) 221-8152
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
LL-416-16
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
34956
TX
Other
Enumeration date
07/11/2016
Last updated
07/18/2022
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