Organization
THE BUCKLEY DENTAL CENTER PC
Active
Other names
East Lake Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ELISHA ELISHA BUCKLEY (OWNER)
(678) 524-7364
Entity
Organization
Contact information
Practice address
2325 GLENWOOD AVE SE, ATLANTA, GA 30316-2362
(678) 800-8316
(678) 800-8317
Mailing address
4807 WIGLEY RD NE, MARIETTA, GA 30066-1503
(678) 524-7364
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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