Individual
TERRY P WYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
221 EASTERN AVE, AUGUSTA, ME 04330
(207) 622-2500
(207) 623-3077
Mailing address
221 EASTERN AVE, AUGUSTA, ME 04330
(207) 622-2500
(207) 623-3077
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2671
ME
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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