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1548665532
TERRY LEE BUCKENHEIMER
TAMPA, FL
NPI
1548665532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL 8669)
Enumeration Date
2014-11-03
Last Update Date
2014-11-03
Business Address
Dr. TERRY LEE BUCKENHEIMER DMD
3906 W NEPTUNE ST
TAMPA, FL 33629-5829
Phone number: 813-857-3989
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Mailing Address
Dr. TERRY LEE BUCKENHEIMER DMD
3906 W NEPTUNE ST
TAMPA, FL 33629-5829
Phone number: 813-857-3989
Copy
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