Individual
DR. ELISHA W. BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
540 E CROSSVILLE RD STE 200, ROSWELL, GA 30075-7661
(770) 642-7999
(770) 642-7912
Mailing address
540 E CROSSVILLE RD STE 200, ROSWELL, GA 30075-7661
(770) 642-7999
(770) 642-7912
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013911
GA
Other
Enumeration date
07/01/2009
Last updated
10/02/2021
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