Individual
DR. BRADLEY JASON BUCHWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3302 GASTON AVE, DALLAS, TX 75246-2013
(214) 828-8121
Mailing address
3302 GASTON AVE, DALLAS, TX 75246-2013
(214) 828-8121
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
27839
TX
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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