Organization
NORTHWOODS DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER DOUGLAS BUCHERT DDS (OWNER)
(218) 326-3438
Entity
Organization
Contact information
Practice address
220 SE 21ST ST, GRAND RAPIDS, MN 55744-4268
(218) 326-3438
(218) 327-1475
Mailing address
220 SE 21ST ST, GRAND RAPIDS, MN 55744-4268
(218) 326-3438
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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