Individual
DR. DAVID STANLEY BUCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
500 COLUMBIA RD, DORCHESTER, MA 02125-2322
(617) 287-8000
Mailing address
1661 WASHINGTON ST APT 205, BOSTON, MA 02118-3331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21869
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301977
—
MA
Enumeration date
07/06/2007
Last updated
12/05/2007
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