Individual
TERESA JUNE BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
22 BEAR GLEN DR, WOODSIDE, CA 94062-4433
(415) 385-3398
Mailing address
22 BEAR GLEN DR, WOODSIDE, CA 94062-4433
(415) 385-3398
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
172
CA
Other
Enumeration date
10/19/2010
Last updated
12/13/2012
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