Individual
DR. DENNIS ORLA BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9350 W NORTHERN AVE, GLENDALE, AZ 85305-1103
(623) 877-3571
(623) 877-3769
Mailing address
1207 E MICHELLE DR, PHOENIX, AZ 85022-1219
(602) 971-9357
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
25
AZ
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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