Individual
JAMES BUCKTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
106 LAKE BOONE TRL, RALEIGH, NC 27608-1020
(919) 782-2119
Mailing address
106 LAKE BOONE TRL, RALEIGH, NC 27608-1020
(919) 782-2119
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5270
NC
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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