Individual
MS. AZURE MARIE BUCKENBERGER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
515 W COURT ST, CHC LA CLINICA, PASCO, WA 99301
(509) 547-2209
(509) 544-8768
Mailing address
PO BOX 1323, PASCO, WA 99301
(509) 547-2209
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00006861
WA
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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