Individual
DR. MARK EDWARD BUCHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1372 W ROBINHOOD DR, SUITE C, STOCKTON, CA 95207-5513
(209) 473-7336
(209) 473-8377
Mailing address
1372 W ROBINHOOD DR, SUITE C, STOCKTON, CA 95207-5513
(209) 473-7336
(209) 473-8377
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30095
CA
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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