Individual
RYAN MARK BUCKWALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1420 GREENBRIER PL, CHARLOTTESVILLE, VA 22901-1696
(434) 973-2224
(434) 973-2361
Mailing address
1420 GREENBRIER PL, CHARLOTTESVILLE, VA 22901-1696
(434) 973-2224
(434) 973-2361
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413341
VA
Other
Enumeration date
08/07/2009
Last updated
10/12/2016
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