| NPI | 1346500279 |
|---|---|
| Doing Business As | NORTHERN TRAILS DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN JOY BUCK Owner Dentist 906-346-6349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901019751) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |