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Organization

WILLIAM K DAHL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM K DAHL DPM (OWNER)
(207) 945-5554
Entity
Organization

Contact information

Practice address
205 FRENCH ST, BANGOR, ME 04401-5064
(207) 945-5554
(204) 945-5196
Mailing address
205 FRENCH ST, BANGOR, ME 04401-5064
(207) 945-5554
(204) 945-5196

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD200
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
220000000
ME
Enumeration date
05/21/2009
Last updated
05/21/2009
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