Individual
DR. WAYNE WILSON WIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20 BELLEVUE AVE, BANGOR, ME 04401-5618
(207) 942-4155
(207) 942-1819
Mailing address
20 BELLEVUE AVE, BANGOR, ME 04401-5618
(207) 942-4155
(207) 942-1819
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2145
ME
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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