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1669609939
STEPHEN DALE BUCKLEW
JACKSONVILLE, NC
NPI
1669609939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NC 4882)
Additional Taxonomies
122300000X Dentist
(Licence: WV 2505)
Enumeration Date
2009-06-15
Last Update Date
2009-06-15
Business Address
Dr. STEPHEN DALE BUCKLEW D.D.S.
1100 GUM BRANCH RD
JACKSONVILLE, NC 28540-5743
Phone number: 910-347-2051
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Mailing Address
Dr. STEPHEN DALE BUCKLEW D.D.S.
1100 GUM BRANCH RD
JACKSONVILLE, NC 28540-5743
Phone number: 910-347-2051
Copy
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