Individual
BLAKE HILL BUCKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 605-7000
Mailing address
10 N GREENE ST, BALTIMORE, MD 21201-1524
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18427
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2024
Last updated
03/19/2025
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