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Organization
THE BUCKLEY DENTAL CENTER PC
Active
Organization
THE BUCKLEY DENTAL CENTER PC
Active
Other names
East Lake Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ELISHA ELISHA BUCKLEY (OWNER)
(678) 524-7364
Entity
Organization
Contact information
Practice address
2325 GLENWOOD AVE SE, ATLANTA, GA 30316-2362
(678) 800-8316
(678) 800-8317
Mailing address
4807 WIGLEY RD NE, MARIETTA, GA 30066-1503
(678) 524-7364
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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