Maine Family Dental Practice PA

NPI #1760512446 in Bangor, Maine

Provider Information

NPI Number: 1760512446
Entity Type: Organization
Organization Name: Maine Family Dental Practice PA
Primary Specialty: Dentist
Enumeration Date: Mar 6, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 277 STATE ST
Address 2: SUITE 2B
City: Bangor
State: Maine
ZIP Code: 04401
Phone: (207) 947-1166

Authorized Official

Name: CHARLENE MCGARR
Title: OFFICE MANAGER
Phone: (207) 947-1166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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