Organization
NORTHWOODS DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER JACOB TYBURSKI DMD (DENTIST/ SOLE MEMBER)
(207) 330-0378
Entity
Organization
Contact information
Practice address
327 NORTH AVENUE, SKOWHEGAN, ME 04976
(207) 474-8588
Mailing address
PO BOX 411, SKOWHEGAN, ME 04976-0411
(207) 474-8588
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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