Individual
DR. JUAN MANUEL BUGUENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 COLLEGE ST, PORTLAND, ME 04103-2617
(207) 212-4739
Mailing address
PO BOX 9465, MORGANTOWN, WV 26506-9465
(304) 293-4703
(304) 293-7649
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
21674
TX
122300000X
Dentist
Primary
DEN5112
ME
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN5112
ME
1223X2210X
Orofacial Pain Dentistry
DEN5112
ME
Other
Enumeration date
01/30/2006
Last updated
07/09/2024
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