Individual
DR. LESLIE RICHERSON BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
30500 STATE HIGHWAY 181 STE 450, SPANISH FORT, AL 36527-5824
(251) 625-1908
Mailing address
30500 STATE HIGHWAY 181 STE 450, SPANISH FORT, AL 36527-5824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5121
AL
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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