Charles Bukovac, DMD
NPI #1508101338 in Montgomery City, Missouri
Provider Information
- NPI Number
- 1508101338
- Entity Type
- Individual
- Name
- Charles Bukovac, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Dec 5, 2012
- Last Updated
- Dec 5, 2012
Practice Location
- Address
- 215 SOUTH STURGEON ST
- City
- Montgomery City
- State
- Missouri
- ZIP Code
- 63361
- Phone
- (573) 564-3726
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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