Individual
DR. BRODY THOMAS VALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
743 BROADWAY, BANGOR, ME 04401-3225
(207) 945-5300
Mailing address
743 BROADWAY, BANGOR, ME 04401-3225
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4887
ME
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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