Edward Pushkarev

NPI #1124602677 in Temple, Texas

Provider Information

NPI Number
1124602677
Entity Type
Individual
Name
Edward Pushkarev
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Enumeration Date
May 11, 2021
Last Updated
Jul 23, 2022

Practice Location

Address
2320 S 31ST ST STE 120
City
Temple
State
Texas
ZIP Code
76504-2429
Phone
(484) 526-2460

Specialties & Taxonomy Codes

Specialty
Dentist

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