Organization
NORTHEAST PERIODOANTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA REIDY D.M.D. (PERIODONTIST)
(207) 941-2300
Entity
Organization
Contact information
Practice address
20 PENN PLAZA, SUITE 32, BANGOR, ME 04401
(207) 941-2300
(207) 941-9683
Mailing address
20 PENN PLAZA, SUITE 32, BANGOR, ME 04401
(207) 941-2300
(207) 941-9683
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3092
ME
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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