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1245526888
BRAD SCOTT BUCKINGHAM
AUSTIN, TX
NPI
1245526888
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 29448)
Additional Taxonomies
122300000X Dentist
(Licence: TN 9412)
Enumeration Date
2011-06-22
Last Update Date
2015-03-05
Business Address
Dr. BRAD SCOTT BUCKINGHAM D.M.D.
6800 BURNET RD STE 5
AUSTIN, TX 78757-2853
Phone number: 512-527-3294
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Mailing Address
Dr. BRAD SCOTT BUCKINGHAM D.M.D.
6800 BURNET RD STE 5
AUSTIN, TX 78757-2853
Phone number: 512-527-3294
Copy
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