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Individual

DR. NATHAN B BUCKNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1802 NW 52ND ST, LAWTON, OK 73505-3122
(580) 428-6700
Mailing address
1802 NW 52ND ST, LAWTON, OK 73505-3122
(580) 428-6700

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6437
OK

Other

Enumeration date
07/12/2012
Last updated
05/08/2017
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