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Individual

DR. THOMAS HWNRY DWELLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O. D.

Contact information

Practice address
336 MOUNT HOPE AVE, SUITE 6, BANGOR, ME 04401-4236
(207) 947-4481
(207) 947-4482
Mailing address
336 MOUNT HOPE AVE, SUITE 6, BANGOR, ME 04401-4236
(207) 947-4481
(207) 947-4482

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
215861
ME

Other

Enumeration date
11/07/2006
Last updated
07/08/2007
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