Individual
DR. SHILO ANNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
42 HIGHLAND RD, BRIDGTON, ME 04009-1237
(207) 647-3628
Mailing address
311 MILT BROWN RD, STANDISH, ME 04084-6391
(207) 272-9847
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4545
ME
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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