Individual
MRS. AMANDA MARIE BUCKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5917 STADIUM DR, KALAMAZOO, MI 49009-3017
(269) 372-1042
Mailing address
32 DIVISION ST, COLDWATER, MI 49036-1966
(517) 278-7436
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019767
MI
Other
Enumeration date
05/22/2008
Last updated
11/25/2015
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