Individual
CHRISTIAN LEIGH BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BS
Contact information
Practice address
5014 ROSWELL RD, SANDY SPRINGS, GA 30342-2207
(404) 847-9711
Mailing address
10114 WINDALIER WAY, ROSWELL, GA 30076-1777
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH011476
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124Q00000X
DENTISTRY 12
GA
Enumeration date
04/04/2020
Last updated
04/04/2020
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