Brian M Waller, DMD

NPI #1285214221 in Bangor, Maine

Provider Information

NPI Number
1285214221
Entity Type
Individual
Name
Brian M Waller, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Apr 13, 2021
Last Updated
Jul 26, 2023

Practice Location

Address
1048 UNION ST
City
Bangor
State
Maine
ZIP Code
04401-3016
Phone
(207) 992-2152

Specialties & Taxonomy Codes

Specialty
Dentist

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