DR. Charles Ensworth Buchanan JR., DDS
NPI #1184157513 in Queens Village, New York
Provider Information
- NPI Number
- 1184157513
- Entity Type
- Individual
- Name
- DR. Charles Ensworth Buchanan JR., DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Apr 3, 2017
- Last Updated
- Oct 16, 2023
Practice Location
- Address
- 21820 HEMPSTEAD AVE STE 2
- City
- Queens Village
- State
- New York
- ZIP Code
- 11429-1235
- Phone
- (718) 217-8700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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