| Buchanan Dental | |
|
2219 Buchanan Road Suite #1 Antioch CA 94509 | |
| (925) 978-9714 | |
| (925) 303-2436 |
| Full Name | Buchanan Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2219 Buchanan Road, Antioch, California |
| Authorized Official Name and Position | Shobha Narasimhan (OWNER) |
| Authorized Official Contact | 7329917803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buchanan Dental 298 Rangewood Dr Pittsburg CA 94565 Ph: (908) 380-0564 | Buchanan Dental 2219 Buchanan Road Suite #1 Antioch CA 94509 Ph: (925) 978-9714 |
| NPI Number | 1285092015 |
|---|---|
| Provider Enumeration Date | 02/08/2016 |
| Last Update Date | 10/19/2021 |
| Certification Date | 10/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285092015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 64147 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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