Organization
DOOR COUNTY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER J HUBBARD DDS (DENTIST)
(920) 743-6911
Entity
Organization
Contact information
Practice address
30 N 18TH AVE, 2, STURGEON BAY, WI 54235-3207
(920) 743-6911
(920) 743-5890
Mailing address
30 N 18TH AVE, 2, STURGEON BAY, WI 54235-3207
(920) 743-6911
(920) 743-5890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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