Individual
ALYSE BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1051 BEACON ST, SUITE 409, BROOKLINE, MA 02446-5685
(617) 277-0033
Mailing address
1051 BEACON ST, SUITE 409, BROOKLINE, MA 02446-5685
(617) 277-0033
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH87967
MA
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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