Individual
RYAN M BUKHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1096
(305) 585-5326
(305) 585-8372
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1096
(305) 585-5326
(305) 585-8372
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DRP2242
FL
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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