Organization
PENOBSCOT COMMUNITY HEALTH CENTER
Active
Other names
Downeast School
Organization subpart
No
Provider details
NPI number
Authorized official
LORI L. DWYER ESQ. (PRESIDENT & CEO)
(207) 992-9200
Entity
Organization
Contact information
Practice address
100 MOOSEHEAD BLVD, BANGOR, ME 04401
(207) 992-2152
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4484
ME
Other
Enumeration date
09/08/2016
Last updated
08/06/2018
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