Individual
THERESA BUECHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
605 PETERSON DR, PHILLIPS, WI 54555-1430
(715) 339-3021
Mailing address
1284 2ND AVE N, PARK FALLS, WI 54552-1390
(715) 661-0018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002604
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2021
Last updated
02/15/2022
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