Southway Family Dentistry

NPI #1902154248 in Muncie, Indiana

Provider Information

NPI Number: 1902154248
Entity Type: Organization
Organization Name: Southway Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 16, 2012
Last Updated: Aug 16, 2012

Practice Location

Address: 3745 S MADISON ST
City: Muncie
State: Indiana
ZIP Code: 47302-5756
Phone: (765) 896-9857

Authorized Official

Name: DR. DAVID M BUKSAR, DDS
Title: OWNER
Phone: (765) 896-9857

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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