Individual
DR. LAURA ANN REIDY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
20 PENN PLZ, SUITE 32, BANGOR, ME 04401-3620
(207) 941-2300
(207) 941-9683
Mailing address
20 PENN PLZ, SUITE 32, BANGOR, ME 04401-3620
(207) 941-2300
(207) 941-9683
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3092
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003734
BC/BS PIN NUMBER
ME
Enumeration date
10/27/2005
Last updated
07/08/2007
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