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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