Individual
DR. BUKARIS R ANUGERAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
117 2ND AVE, COLLEGEVILLE, PA 19426-2608
(610) 406-0676
(610) 409-6076
Mailing address
117 2ND AVE, COLLEGEVILLE, PA 19426-2608
(610) 406-0676
(610) 409-6076
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS028432L
PA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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