NPI | 1104598457 |
---|---|
Doing Business As | BUCKLEY DENTAL CARE |
Entity Type | Organization |
Authorized Contact | ELISHA BUCKLEY Owner 678-524-7364 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-10-04 |
Last Update Date | 2021-10-04 |