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Individual
DR. PAUL MICHAEL THORSEN BUCK
Active
Individual
DR. PAUL MICHAEL THORSEN BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D9768
OR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D9768
OR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DE60827554
WA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
D13762
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
PG173069
OR
Other
Enumeration date
04/26/2012
Last updated
10/11/2023
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