Individual
DR. CARROLL DENNIS BUCKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D
Contact information
Practice address
9900 GENESEE AVE STE B, LA JOLLA, CA 92037-1210
(858) 453-8484
(858) 453-3284
Mailing address
9900 GENESEE AVE STE B, LA JOLLA, CA 92037-1210
(858) 453-8484
(858) 453-3284
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G44143
CA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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