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Individual

DR. MONTRESSOR LAMAR UPSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1048 UNION ST, PENOBSCOT COMMUNITY HEALTH CENTER, BANGOR, ME 04401-3016
(207) 992-2152
Mailing address
PO BOX 1599, PENOBSCOT COMMUNITY HEALTH CENTER, BANGOR, ME 04402-1599
(207) 945-5247

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4484
ME

Other

Enumeration date
07/14/2009
Last updated
07/20/2016
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