Individual
DR. JAY MEYER BUKZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7915 LAKE MANASSAS DRIVE, SUITE 115, GAINESVILLE, VA 20155
(703) 753-7933
(703) 743-9089
Mailing address
7915 LAKE MANASSAS DRIVE, SUITE 115, GAINESVILLE, VA 20155
(703) 753-7933
(703) 743-9089
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401411256
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000212
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
22DI02247000
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
8416
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS035695
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
G10001119
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008449880002
—
PA
Enumeration date
10/24/2006
Last updated
06/10/2008
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