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Individual

DR. CHARLES H BUCHANAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1971 WESTERN AVE, ALBANY, NY 12203-5066
(518) 456-0001
(518) 464-9455
Mailing address
1971 WESTERN AVE, ALBANY, NY 12203-5066
(518) 456-0001
(518) 464-9455

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
034725-1
NY

Other

Enumeration date
04/05/2007
Last updated
07/08/2007
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