EDWARD PUSHKAREV

TEMPLE, TX
NPI1124602677
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: TX  38788)
Enumeration Date2021-05-11
Last Update Date2022-07-23
Business Address
EDWARD PUSHKAREV
2320 S 31ST ST STE 120
TEMPLE, TX 76504-2429
Phone number: 484-526-2460
Mailing Address
EDWARD PUSHKAREV
13149 ALTA VISTA WAY
SYLMAR, CA 91342-3462
Phone number: 310-689-8657
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