Organization
VANIDESTINE CHIROPRACTIC, INC
Active
Other names
VANIDESTINE CHIROPRACTIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J VANIDESTINE JR. D.C. (OWNER)
(207) 942-2800
Entity
Organization
Contact information
Practice address
336 MOUNT HOPE AVE STE 11, BANGOR, ME 04401-4236
(207) 942-2800
(207) 990-2632
Mailing address
336 MOUNT HOPE AVE STE 11, BANGOR, ME 04401-4236
(207) 942-2800
(207) 990-2632
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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