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1144673302
JUSTIN BUCHANAN
CRESTVIEW, FL
NPI
1144673302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL 22127)
Enumeration Date
2016-07-22
Last Update Date
2017-02-02
Business Address
Dr. JUSTIN BUCHANAN D.M.D.
101 4TH AVE STE D
CRESTVIEW, FL 32539-2401
Phone number: 850-683-3544
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Mailing Address
Dr. JUSTIN BUCHANAN D.M.D.
54B MEIGS DR
SHALIMAR, FL 32579-2144
Phone number: 678-591-9692
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