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Organization
GWENDOLYN BUCK DDS PLLC
Active
Organization
GWENDOLYN BUCK DDS PLLC
Active
Other names
Northern Trails Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN JOY BUCK DDS (OWNER DENTIST)
(906) 346-6349
Entity
Organization
Contact information
Practice address
271 E STATE HIGHWAY M35, GWINN, MI 49841-9003
(906) 346-6349
Mailing address
271 E STATE HIGHWAY M35, PO BOX 309, GWINN, MI 49841-9003
(906) 346-6349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019751
MI
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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