Individual
ISATU BAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1048 UNION ST, BANGOR, ME 04401-3016
(207) 404-8200
(207) 947-0435
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 404-8200
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4578
ME
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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