| Bangor Braces Pc | |
|
570 Stillwater Ave Bangor ME 04401-3522 | |
| (207) 945-6324 | |
| Not Available |
| Full Name | Bangor Braces Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 570 Stillwater Ave, Bangor, Maine |
| Authorized Official Name and Position | Brad James Woodford (OWNER) |
| Authorized Official Contact | 2079456324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bangor Braces Pc 570 Stillwater Ave Bangor ME 04401-3522 Ph: (207) 945-6324 | Bangor Braces Pc 570 Stillwater Ave Bangor ME 04401-3522 Ph: (207) 945-6324 |
| NPI Number | 1851836001 |
|---|---|
| Provider Enumeration Date | 12/27/2016 |
| Last Update Date | 12/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851836001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DEN4336 (Maine) | Primary |
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