United Cerebral Palsy of Northeastern Maine

NPI #1225303498 in Bangor, Maine

Provider Information

NPI Number: 1225303498
Entity Type: Organization
Organization Name: United Cerebral Palsy of Northeastern Maine
Primary Specialty: Dental Hygienist
Enumeration Date: Mar 20, 2012
Last Updated: Mar 20, 2012

Practice Location

Address: 700 MOUNT HOPE AVE
Address 2: SUITE 320
City: Bangor
State: Maine
ZIP Code: 04401-5691
Phone: (207) 941-2952

Authorized Official

Name: MS. JULIE M OGDEN
Title: CAO
Phone: (207) 941-2952

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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