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Individual

MR. JOHN WHITTAKER BUCHANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
546 PARK ST, STE 100, BOWLING GREEN, KY 42101
(270) 781-3133
(270) 846-0193
Mailing address
546 PARK ST, STE 100, BOWLING GREEN, KY 42101
(270) 781-3133
(270) 846-0193

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7154
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60071545
KY
Enumeration date
03/27/2007
Last updated
08/12/2013
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