Organization
ROBERT L. BUCKLES, DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LAWSON BUCKLES D.M.D. (PRESIDENT)
(972) 596-0312
Entity
Organization
Contact information
Practice address
4100 W 15TH ST, SUITE104, PLANO, TX 75093-5803
(972) 596-0312
(972) 867-7041
Mailing address
4100 W 15TH ST, SUITE104, PLANO, TX 75093-5803
(972) 596-0312
(972) 867-7041
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
11254
TX
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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