Maine Oral & Maxillofacial Surgery Associates, P.a.

NPI #1063468163 in Auburn, Maine

Provider Information

NPI Number
1063468163
Entity Type
Organization
Organization Name
Maine Oral & Maxillofacial Surgery Associates, P.a.
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
May 26, 2006
Last Updated
Jul 10, 2012

Practice Location

Address
211 MOUNT AUBURN AVE
City
Auburn
State
Maine
ZIP Code
04210-8521
Phone
(207) 514-7171

Authorized Official

Name
BRUCE V GALLUP, DMD
Title
PRESIDENT/SURGEON
Phone
(207) 514-7171

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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