DR. Montressor Lamar Upshaw, DDS

NPI #1295965036 in Bangor, Maine

Provider Information

NPI Number: 1295965036
Entity Type: Individual
Name: DR. Montressor Lamar Upshaw, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 14, 2009
Last Updated: Jul 20, 2016

Practice Location

Address: 1048 UNION ST
Address 2: PENOBSCOT COMMUNITY HEALTH CENTER
City: Bangor
State: Maine
ZIP Code: 04401-3016
Phone: (207) 992-2152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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