Individual
DR. JACK A. BUHROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S,, M.S.
Contact information
Practice address
1441 N 12TH ST FL 3, PHOENIX, AZ 85006-2837
(602) 521-5150
Mailing address
1441 N 12TH ST FL 3, PHOENIX, AZ 85006-2837
(602) 521-5150
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1939
AZ
Other
Enumeration date
11/17/2005
Last updated
11/20/2017
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