Gary Boudreau, LD

NPI #1467996330 in Bangor, Maine

Provider Information

NPI Number
1467996330
Entity Type
Individual
Name
Gary Boudreau, LD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Denturist
Credential
LD
Enumeration Date
Dec 13, 2016
Last Updated
Dec 13, 2016

Practice Location

Address
12 STILLWATER AVE
City
Bangor
State
Maine
ZIP Code
04401-3984
Phone
(207) 941-6550

Specialties & Taxonomy Codes

Specialty
Denturist

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