Individual
DR. RONNI SUE BUCKLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
367 WEST 49 STREET, NEW YORK, NY 10023
(212) 367-7120
(718) 398-2792
Mailing address
150 WEST END AVENUE, 16AB, NEW YORK, NY 10023
(212) 721-8447
(718) 398-2792
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
042588
NY
Other
Enumeration date
06/09/2011
Last updated
04/07/2017
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