Organization
DONALD J. GAGNON DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD J. GAGNON DMD (PRESIDENT)
(207) 582-1010
Entity
Organization
Contact information
Practice address
14 MERRILL ST, FARMINGDALE, ME 04344-1622
(207) 626-3091
Mailing address
14 MERRILL ST, FARMINGDALE, ME 04344-1622
(207) 626-3091
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2717
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204390000
—
ME
Enumeration date
05/27/2009
Last updated
05/27/2009
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