Individual
DOUGLAS MICHAEL TREBTOSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21 NE FRONTAGE RD, BYRON, MN 55920
(507) 775-6445
(507) 775-6446
Mailing address
PO BOX 37, BYRON, MN 55920-0037
(507) 775-6445
(507) 775-6446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8812
MN
1223G0001X
General Practice Dentistry
Primary
8812
MN
Other
Enumeration date
11/01/2006
Last updated
12/17/2019
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