Organization
JARED T BUCK DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED THOMAS BUCK DDS (PRESIDENT)
(775) 883-3434
Entity
Organization
Contact information
Practice address
1177 N DIVISION ST, CARSON CITY, NV 89703-3874
(775) 883-3434
Mailing address
1177 N DIVISION ST, CARSON CITY, NV 89703-3874
(775) 883-3434
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
S7-70C
NV
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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