Individual
DR. BARNETT BUCKLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
345 E 24TH ST, NEW YORK, NY 10010-4020
(212) 998-9617
(212) 995-4119
Mailing address
176 E 77TH ST, 5D, NEW YORK, NY 10075-1908
(212) 744-7164
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
024844-1
NY
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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