Individual
KELLY E PALCHIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1048 UNION ST, BANGOR, ME 04401-8600
(207) 992-2152
(207) 992-2154
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
RES10
ME
Other
Enumeration date
07/06/2011
Last updated
10/26/2011
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