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Organization

ORAL & FACIAL SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHARON K RING (OFFICE MANAGER)
(207) 942-6620
Entity
Organization

Contact information

Practice address
885 UNION ST, STE. 225, BANGOR, ME 04401-3083
(207) 942-6620
(207) 942-6264
Mailing address
885 UNION ST, STE. 225, BANGOR, ME 04401-3083
(207) 942-6620
(207) 942-6264

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3522
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133160000
ME
Enumeration date
08/30/2006
Last updated
01/30/2009
Update your record

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