Individual
DR. PANASAYA BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
80 HIGH ST, MEDFORD, MA 02155-3872
(781) 931-8300
Mailing address
512 MASSACHUSETTS AVE APT 1, BOSTON, MA 02118-1419
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN1856217
MA
Other
Enumeration date
08/03/2011
Last updated
05/04/2015
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