Individual
LYNDA KAY BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 DELEGLISE ST, ANTIGO, WI 54409-1329
(715) 610-3246
Mailing address
210 DELEGLISE ST, ANTIGO, WI 54409-1329
(715) 610-3246
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
A2418
OR
Other
Enumeration date
03/30/2013
Last updated
03/30/2013
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