Individual
DR. LOUISE DESJARDINS KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
151 STATE ST, BANGOR, ME 04401-5319
(207) 945-6036
(207) 942-1548
Mailing address
151 STATE ST, BANGOR, ME 04401-5319
(207) 945-6036
(207) 942-1548
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3666
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3666
MAINE DENTAL LICENSE
ME
Enumeration date
10/17/2006
Last updated
07/08/2007
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