Individual
DR. JOSEPH S KINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D; LD
Contact information
Practice address
61 HERSEY AVE, BANGOR, ME 04401-4443
(207) 942-1743
Mailing address
61 HERSEY AVE, BANGOR, ME 04401-4443
(207) 942-1743
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
5515
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700015526
—
ME
Enumeration date
07/14/2009
Last updated
07/16/2009
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