Individual
JANEL ANGELA FORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
171 CONGRESS AVE, BATH, ME 04530-1531
(207) 443-9721
Mailing address
1 SCHOOL ST, APT 3, BRUNSWICK, ME 04011-2134
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3786
ME
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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